Organization Active NPI

Eli Home Health Services Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1871762872
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELI HOME HEALTH SERVICES INC
Practice address
9550 Forest Lane, Suite: 319
Dallas, TX 75243-5902
Phone
(469) 867-2702
Fax
(972) 807-2790
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Mr. Kenneth Isiguzo Ochulor
Title
Administrator
Phone
(972) 807-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9550 Forest Lane, Suite: 319
Dallas, TX 75243-5902

Mailing address

9550 Forest Lane, Suite: 319
Dallas, TX 75243-5902
Phone (469) 867-2702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000504 TX Part A Provider - Home Health Agency 3274609813 Practice locations: Dallas, TX

Home health agency certification: CCN 747088

Legal name
ELI HOME HEALTH SERVICES INC.
Doing business as
ELI HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 10, 2009
Last certification
Jan 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
9550 Forest Land
Suite 319
Dallas, TX 75243-5902

Care Compare: Home health agency

Medicare Care Compare
Listed as
Eli Home Health Services IncCCN 747088
Ownership
Proprietary
Certified
Apr 10, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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
45D1081710Eli Home Health Services Inc9550 Forest Lane, Suite 319, Dallas, TX 75243Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

9550 Forest Ln
Ste 319
Dallas, TX 75243
Phone (214) 341-6201

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kenneth Ochulor Individual 5% Or Greater Direct Ownership InterestPresident Jun 22, 2017 100%
Corporate DirectorPresident Jun 22, 2017 100%
Operational/Managerial ControlPresident Jun 22, 2017 100%
Chisom Ochulor Individual W-2 Managing Employee Jun 22, 2017
Operational/Managerial Control Jun 22, 2017

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1871762872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LANE, SUITE: 319",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435902",
            "telephone_number": "469-867-2702",
            "fax_number": "972-807-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LANE, SUITE: 319",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435902",
            "telephone_number": "469-867-2702",
            "fax_number": "972-807-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "OCHULOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ISIGUZO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-807-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.