Active NPI
Elizabeth Mabute
- Home Health Agency
- Houston, TX
National Provider Identifier
1942215728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010608
- Practice address
- 9534 Huffmeister Rd
Houston, TX 77095-2855 - Phone
- (281) 861-9146
- Fax
- (877) 860-8137
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010608 | TX | Primary |
Addresses
Primary practice location
9534 Huffmeister Rd
Houston, TX 77095-2855
Mailing address
9534 Huffmeister Rd
Houston, TX 77095-2855
Phone (281) 861-9146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010608 | Other | TX | TX DEPT OF AGING & DISABILITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070724000053 | TX | Part A Provider - Home Health Agency | 8921109794 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX |
Home health agency certification: CCN 743110
- Legal name
- GS HOME HEALTH MANAGEMENT, LLC.
- Doing business as
- GOOD SHEPHERD HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 3, 2008
- Last certification
- Mar 1, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Sep 12, 2012 in TX
- Enrollment address
- 9534 Huffmeister Rd
Houston, TX 77095-2855
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Good Shepherd Home Health Services
- Ownership
- Proprietary
- Certified
- Jul 3, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010608 | TX | MD | Home Health Agency |
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Margo Cruz | Operational/Managerial Control | Aug 2, 2019 | |
| Elizabeth Mabute | 5% Or Greater Direct Ownership Interest | Aug 26, 2011 | 100% |
| W-2 Managing Employee | Aug 28, 2012 | ||
| Operational/Managerial Control | Aug 28, 2011 | ||
| Ana Liza Ebba Dimalanta | Operational/Managerial Control | Apr 7, 2026 | |
| Myrna Esguerra | Operational/Managerial Control | Feb 2, 2015 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1942215728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9534 HUFFMEISTER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952855",
"telephone_number": "281-861-9146",
"fax_number": "281-861-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9534 HUFFMEISTER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952855",
"telephone_number": "281-861-9146",
"fax_number": "877-860-8137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABUTE",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX DEPT OF AGING & DISABILITY",
"identifier": "010608",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.