Organization Active NPI

Amedicus Home Health Inc.

  • Home Health Agency
  • Crandall, TX
National Provider Identifier
1902415763
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthCCN 748001 · All quality measures
Ownership
Proprietary
Certified
Mar 8, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Don Ayesh Sondapperumaarachchi Individual 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 Individual 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 Individual 5% Or Greater Direct Ownership Interest Sep 14, 2023 20%
Corporate Officer Sep 14, 2023 20%
W-2 Managing EmployeeAd; Sep 14, 2023 20%
Kyla Espina Individual Corporate OfficerAlternate Administrator May 7, 2024
Bessy Thomas Individual 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 Individual 5% Or Greater Direct Ownership InterestDirector Sep 14, 2023 5%
Corporate OfficerDirector Sep 14, 2023 5%
Corporate DirectorDirector Sep 14, 2023 5%
Patricia Wilkerson Individual 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 Individual 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

Verify at the official NPI Registry.