Everest Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVEREST HOME HEALTH CARE INC

Practice address

1643 Skyview Dr
Irving, TX 75060-4711

Phone

(972) 790-9730

Fax

(972) 790-9732

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kusumam Jacob, RNNPI 1518157619

Title

Administrator

Phone

(214) 632-2132

Specialties & licenses 1

Addresses

Other names 1

• Everest Home Health Care Inc Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747042

Legal name

EVEREST HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 9, 2009

Last certification

Oct 22, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

611 N Macarthur Blvd
Suite 105
Irving, TX 75061-7423

Listed as

Everest Home Health Care IncCCN 747042

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jan 9, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kusumam Jacob, RN

  • Registered Nurse
  • Irving, TX
  • NPI 1518157619
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert Warren Israel Jr., M.D.

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1154347227

  Home health agency

  Care Compare affiliation
• Ashwani Dayal Srivastava, M.D.

  • Internal Medicine Physician
  • Duncanville, TX
  • NPI 1467507038

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1942490008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 SKYVIEW DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604711",
            "telephone_number": "972-790-9730",
            "fax_number": "972-790-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 SKYVIEW DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604711",
            "telephone_number": "972-790-9730",
            "fax_number": "972-790-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "KUSUMAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-632-2132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everest Home Health Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Irving, TX
• Providers in Irving, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.

Verify at the official NPI Registry.