Organization Active NPI

Novel Healthcare Services Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1942396460
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006875 Issued in TX
Legal business name
NOVEL HEALTHCARE SERVICES INC
Practice address
7920 Belt Line Rd
Suite 255
Dallas, TX 75254
Phone
(972) 994-9395
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Ivert Tambe, RN, BSN
Title
Administrator
Phone
(972) 994-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 006875 TX Primary

Addresses

Primary practice location

7920 Belt Line Rd
Suite 255
Dallas, TX 75254

Mailing address

7920 Belt Line Rd
Suite 255
Dallas, TX 75254
Phone (972) 994-9395

Other identifiers 2

IdentifierTypeStateIssuer
001001067OtherTXPRIMARY HOME CARE NUMBER
157609201MedicaidTX

Other names 1

  • NOVEL HOME HEALTHCARE AGENCY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000130 TX Part A Provider - Home Health Agency 5698796092 Practice locations: Dallas, TX; Euless, TX

Home health agency certification: CCN 459465

Legal name
NOVEL HEALTHCARE SERVICES INC
Doing business as
NOVEL HOME HEALTHCARE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 1999
Last certification
Sep 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 27, 1997 in TX
Enrollment address
7920 Beltline Rd,
Suite 255
Dallas, TX 75254

Care Compare: Home health agency

Medicare Care Compare
Listed as
Novel Home Healthcare AgencyCCN 459465
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 17, 1999
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
45D0959363Novel Home Healthcare Agency7920 Beltline Road,Suite 255, Dallas, TX 75254Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ivert Tambe Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 28, 1997 50%
Corporate OfficerCeo/Administrator Aug 28, 1997 50%
Corporate DirectorCeo/Administrator Aug 28, 1997 50%
W-2 Managing EmployeeCeo/Administrator Aug 28, 1997 50%
David Tambe Individual 5% Or Greater Direct Ownership InterestBusiness Manager Aug 28, 1997 50%
Corporate OfficerCfo Aug 28, 1997 50%
Corporate DirectorCfo Aug 28, 1997 50%
W-2 Managing EmployeeCfo Aug 28, 1997 50%

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1942396460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "972-994-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "972-994-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "TAMBE",
        "authorized_official_first_name": "IVERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-994-9395",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY HOME CARE NUMBER",
            "identifier": "001001067",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157609201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVEL HOME HEALTHCARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.