Active NPI
Debtag Home Health Services Inc
- Home Health Agency
- Garland, TX
National Provider Identifier
1912145137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2193005 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jun 25, 2010
- 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 |
|---|---|---|---|
| 45D1098056 | Debtag Home Health Services,Inc | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Debtag Home Health Services,Inc. | General Partnership Interest | Jul 23, 2009 | |
| Deborah Fasoro | 5% Or Greater Direct Ownership Interest | Jan 22, 2009 | 50% |
| Corporate Officer | Jan 22, 2009 | 50% | |
| Operational/Managerial Control | Jan 22, 2009 | 50% | |
| Adetokunbo Fasoro | 5% Or Greater Direct Ownership Interest | May 16, 2014 | 50% |
| Corporate Officer | May 16, 2014 | 50% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.