Active NPI
Vika Medical Services, LLC
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VIKA MEDICAL SERVICES, LLC
- Practice address
- 9319 LBJ Fwy Ste 119
Dallas, TX 75243-4455 - Phone
- (240) 604-4841
- NPI assigned
- Aug 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rukhe O Aghomo
- Title
- President
- Phone
- (240) 604-4841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9319 LBJ Fwy Ste 119
Dallas, TX 75243-4455
Mailing address
9319 LBJ Fwy Ste 119
Dallas, TX 75243-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141009002690 | TX | Part A Provider - Home Health Agency | 1759515166 | Practice locations: Dallas, TX |
Home health agency certification: CCN 747948
- Legal name
- VIKA MEDICAL SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 3, 2014
- Last certification
- Jan 8, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 10300 North Central Expressway
Suite 190
Dallas, TX 75231-8600
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Vika Medical Services LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 3, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2016508 | Vika Medical Services, LLC | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
9319 Lyndon B Johnson Fwy
Ste 119
Dallas, TX 75243
Phone (214) 772-6313
273 N Dallas Ave
Ste F
Van Alstyne, TX 75495
Phone (214) 772-6313
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rukhe O Aghomo | 5% Or Greater Direct Ownership Interest | Jul 29, 2010 | 100% |
| Corporate Officer | Jul 30, 2010 | 100% | |
| Corporate Director | Jul 30, 2010 | 100% | |
| W-2 Managing Employee | Jul 30, 2010 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1281398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1881909299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 LBJ FWY STE 119",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 LBJ FWY STE 119",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434455",
"telephone_number": "240-604-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIKA MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "AGHOMO",
"authorized_official_first_name": "RUKHE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-604-4841"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.