Organization Active NPI

Debtag Home Health Services Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1912145137
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEBTAG HOME HEALTH SERVICES INC
Practice address
4229 Glenhaven Dr
Garland, TX 75042-6120
Phone
(972) 572-6400
Fax
(972) 572-6402
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Chimdi C Maduka, RN
Title
Owner
Phone
(972) 572-6400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

4229 Glenhaven Dr
Garland, TX 75042-6120

Mailing address

4229 Glenhaven Dr
Garland, TX 75042-6120
Phone (972) 572-6400

Other identifiers 1

IdentifierTypeStateIssuer
2193005MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091228000216 TX Part A Provider - Home Health Agency 4880734722 Practice locations: Mesquite, TX

Home health agency certification: CCN 747396

Legal name
DEBTAG HOME HEALTH SERVICES,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 25, 2010
Last certification
Aug 21, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 22, 2009 in TX
Enrollment address
3205 Bent Oak Drive
Mesquite, TX 75181-9825

Care Compare: Home health agency

Medicare Care Compare
Listed as
Debtag Home Health Services IncCCN 747396
Ownership
Proprietary
Certified
Jun 25, 2010
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
45D1098056Debtag Home Health Services,Inc3205 Bent Oak Drive, Mesquite, TX 75181Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Debtag Home Health Services,Inc. Organization, Mesquite, TX Corporation General Partnership Interest Jul 23, 2009
Deborah Fasoro Individual 5% Or Greater Direct Ownership Interest Jan 22, 2009 50%
Corporate OfficerPresident Jan 22, 2009 50%
Operational/Managerial ControlPresident Jan 22, 2009 50%
Adetokunbo Fasoro Individual 5% Or Greater Direct Ownership Interest May 16, 2014 50%
Corporate OfficerVice President May 16, 2014 50%
Operational/Managerial ControlVice President May 16, 2014 50%

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1912145137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 GLENHAVEN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426120",
            "telephone_number": "972-572-6400",
            "fax_number": "972-572-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 GLENHAVEN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426120",
            "telephone_number": "972-572-6400",
            "fax_number": "972-572-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBTAG HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "MADUKA",
        "authorized_official_first_name": "CHIMDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-572-6400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.