Organization Active NPI

Our Homecare,Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1861563173
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011578 Issued in TX
Legal business name
OUR HOMECARE,INC
Practice address
2636 Walnut Hill LN Ste 201
Dallas, TX 75229-4554
Phone
(214) 350-4033
Fax
(214) 350-4689
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Nana Nkwanwo
Title
Cfo
Phone
(214) 350-4033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011578 TX Primary

Addresses

Primary practice location

2636 Walnut Hill LN Ste 201
Dallas, TX 75229-4554

Mailing address

2636 Walnut Hill LN Ste 201
Dallas, TX 75229-4554
Phone (214) 350-4033

Other names 1

  • B&D OUR HOMECARE,INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000122 TX Part A Provider - Home Health Agency 7719065184 Practice locations: Dallas, TX

Home health agency certification: CCN 459315

Legal name
OUR HOMECARE,INC
Doing business as
B&D OUR HOMECARE DBA OUR HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 1997
Last certification
Aug 14, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 21, 1997 in TX
Enrollment address
10300 N Central Expy
Ste 212
Dallas, TX 75231-8662

Care Compare: Home health agency

Medicare Care Compare
Listed as
Our Home Care IncCCN 459315
Ownership
Proprietary
Certified
Jun 17, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0931311Our Homecare, Inc10300 N Central Expwy Suite 212, Dallas, TX 75231Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

2636 Walnut Hill Ln
Ste 201
Dallas, TX 75229
Phone (214) 350-4033

2636 Walnut Hill Ln
Ste 265
Dallas, TX 75229

10300 N Central Expy
Ste 212
Dallas, TX 75231
Phone (214) 350-4033

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Regina N Jing Individual W-2 Managing Employee Jul 17, 2007
Patience Dikibo Individual W-2 Managing Employee Feb 2, 2010
Richard Nkwanwo Individual 5% Or Greater Direct Ownership Interest May 25, 2007 100%
Corporate Director May 25, 2007

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1861563173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294554",
            "telephone_number": "214-350-4033",
            "fax_number": "214-350-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294554",
            "telephone_number": "214-350-4033",
            "fax_number": "214-350-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOMECARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "NKWANWO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-350-4033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&D OUR HOMECARE,INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.