Organization Active NPI

Amrita Group Inc

Doing business as Divine Home Health Care

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1972548725
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009164 Issued in TX
Legal business name
AMRITA GROUP INC
Doing business as
Divine Home Health Care
Practice address
4312 Onyx Dr
Carrollton, TX 75010-4437
Phone
(972) 939-1076
Fax
(972) 242-6925
NPI assigned
Jun 17, 2006
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Mrs. Leelavathi S Namputhiri, RRT
Title
Administrator/Director
Phone
(972) 939-1076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009164 TX Primary

Addresses

Primary practice location

4312 Onyx Dr
Carrollton, TX 75010-4437

Mailing address

4312 Onyx Dr
Carrollton, TX 75010-4437
Phone (972) 939-1076

Other names 1

  • Divine Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809001392 TX Part A Provider - Home Health Agency 6204808355 Practice locations: Carrollton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972548725. Details of each certification follow.

Home health agency certification: CCN 673172

Legal name
AMRITA GROUP INC
Doing business as
DIVINE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2005
Last certification
Jul 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 16, 2004 in TX
Enrollment address
4312 Onyx Dr
Carrollton, TX 75010-4437
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Home Health CareCCN 673172 · All quality measures
Ownership
Proprietary
Certified
Mar 24, 2005
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
45D1025897Divine Home Health Care4312 Onyx Dr, Carrollton, TX 75010Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

Locations

1518 N Interstate 35
Ste 111
Carrollton, TX 75006
Phone (972) 242-6930

4230 Lyndon B Johnson Fwy
Ste 128
Dallas, TX 75244
Phone (972) 242-6930

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
Sreeman Namputhiri Individual Corporate OfficerDisaster Coordinator & 2ND Alt Jul 29, 2012
Omana Nair Individual Corporate OfficerDon Jul 29, 2012
Leelavathi Namputhiri Individual 5% Or Greater Direct Ownership Interest Jul 29, 2012 100%
W-2 Managing Employee Mar 20, 2006
Geetha Sekher Individual Corporate OfficerAlternate Admin/Alternate Don Apr 14, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1972548725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 ONYX DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104437",
            "telephone_number": "972-939-1076",
            "fax_number": "972-242-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 ONYX DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104437",
            "telephone_number": "972-939-1076",
            "fax_number": "972-242-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRITA GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "NAMPUTHIRI",
        "authorized_official_first_name": "LEELAVATHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "972-939-1076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.