Active NPI
Novel Healthcare Services Inc
- Home Health Agency
- Dallas, TX
National Provider Identifier
1942396460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 006875
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001001067 | Other | TX | PRIMARY HOME CARE NUMBER |
| 157609201 | Medicaid | TX |
Other names 1
- NOVEL HOME HEALTHCARE AGENCY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Agency
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 17, 1999
- 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 |
|---|---|---|---|
| 45D0959363 | Novel Home Healthcare Agency | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ivert Tambe | 5% Or Greater Direct Ownership Interest | Aug 28, 1997 | 50% |
| Corporate Officer | Aug 28, 1997 | 50% | |
| Corporate Director | Aug 28, 1997 | 50% | |
| W-2 Managing Employee | Aug 28, 1997 | 50% | |
| David Tambe | 5% Or Greater Direct Ownership Interest | Aug 28, 1997 | 50% |
| Corporate Officer | Aug 28, 1997 | 50% | |
| Corporate Director | Aug 28, 1997 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.