Active NPI
Amedicus Home Health Inc.
- Home Health Agency
- Crandall, TX
National Provider Identifier
1902415763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMEDICUS HOME HEALTH INC.
- Practice address
- 1017 W US Highway 175
Crandall, TX 75114-2005 - Phone
- (469) 389-1028
- NPI assigned
- Jul 28, 2020
- Last updated
- Feb 18, 2026
- 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
- April Henry
- Title
- Administrator
- Phone
- (832) 661-7501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
1017 W US Highway 175
Crandall, TX 75114-2005
Mailing address
1017 W US Highway 175
Crandall, TX 75114-2005
Phone (469) 389-1028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201008003599 | TX | Part A Provider - Home Health Agency | 3678993805 | Practice locations: Dallas, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902415763. Details of each certification follow.
Home health agency certification: CCN 748001
- Legal name
- AMEDICUS HOME HEALTH INC
- Doing business as
- ELITE CARE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 8, 2021
- Last certification
- Mar 8, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 24, 2020 in TX
- Enrollment address
- 4131 N Central Expressway, Suite 900
Office 349
Dallas, TX 75204
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Elite Care Home Health
- Ownership
- Proprietary
- Certified
- Mar 8, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
9550 Forest Ln
Ste 125
Dallas, TX 75243
Phone (469) 389-1028
25503 Oakhurst Dr
Ste 200
Spring, TX 77386
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Don Ayesh Sondapperumaarachchi | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 20% |
| Corporate Director | Sep 14, 2023 | 20% | |
| W-2 Managing Employee | Sep 14, 2023 | 20% | |
| Operational/Managerial Control | Sep 14, 2023 | 20% | |
| Petrolina Phillips | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | |
| Corporate Director | Sep 14, 2023 | 5% | |
| Operational/Managerial Control | Sep 14, 2023 | 5% | |
| Dona Avishka Sondapperumaarachchi | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 20% |
| Corporate Officer | Sep 14, 2023 | 20% | |
| W-2 Managing Employee | Sep 14, 2023 | 20% | |
| Kyla Espina | Corporate Officer | May 7, 2024 | |
| Bessy Thomas | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 5% |
| Corporate Officer | Sep 14, 2023 | 5% | |
| Corporate Director | Sep 14, 2023 | 5% | |
| Annette Maud Igboeli | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 5% |
| Corporate Officer | Sep 14, 2023 | 5% | |
| Corporate Director | Sep 14, 2023 | 5% | |
| Patricia Wilkerson | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 5% |
| Corporate Officer | Sep 14, 2023 | 5% | |
| Corporate Director | Sep 14, 2023 | 5% | |
| Rose Virginia Debond | 5% Or Greater Direct Ownership Interest | Sep 14, 2023 | 40% |
| Corporate Director | Sep 14, 2023 | 40% | |
| W-2 Managing Employee | Sep 14, 2023 | 40% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1902415763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 W US HIGHWAY 175",
"city": "CRANDALL",
"state": "TX",
"postal_code": "751142005",
"telephone_number": "469-389-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W US HIGHWAY 175",
"city": "CRANDALL",
"state": "TX",
"postal_code": "751142005",
"telephone_number": "469-389-1028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDICUS HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-661-7501"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crandall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.