Organization Active NPI

Vika Medical Services, LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1881909299
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 10, 2010

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 747948
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Mar 3, 2014
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
45D2016508Vika Medical Services, LLC10300 N Central Expessway Suite 190, Dallas, TX 75231Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Rukhe O Aghomo Individual 5% Or Greater Direct Ownership Interest Jul 29, 2010 100%
Corporate OfficerAdministrator/Cfo Jul 30, 2010 100%
Corporate DirectorAdministrator/Cfo Jul 30, 2010 100%
W-2 Managing EmployeeAdministrator /Cfo 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

Verify at the official NPI Registry.