Individual provider Active NPI

Elizabeth Mabute

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1942215728
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010608 Issued in TX
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

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010608OtherTXTX DEPT OF AGING & DISABILITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ServicesCCN 743110
Ownership
Proprietary
Certified
Jul 3, 2008
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
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010608TXMDHome 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.

NameRoleSinceShare
Margo Cruz Individual Operational/Managerial ControlDirector of Business Development Aug 2, 2019
Elizabeth Mabute Individual 5% Or Greater Direct Ownership Interest Aug 26, 2011 100%
W-2 Managing EmployeeCeo Aug 28, 2012
Operational/Managerial ControlLLC Member Aug 28, 2011
Ana Liza Ebba Dimalanta Individual Operational/Managerial ControlAdministrator Apr 7, 2026
Myrna Esguerra Individual Operational/Managerial ControlAlternate Administrator 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

Verify at the official NPI Registry.