Active NPI
Amrita Group Inc
Doing business as Divine Home Health Care
- Home Health Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009164
- 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, 2022
- 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
- Mrs. Leelavathi S Namputhiri, RRT
- Title
- Administrator/Director
- Phone
- (972) 939-1076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Mar 16, 2004 in TX
- Enrollment address
- 4312 Onyx Dr
Carrollton, TX 75010-4437
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Divine Home Health Care
- Ownership
- Proprietary
- Certified
- Mar 24, 2005
- 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 |
|---|---|---|---|
| 45D1025897 | Divine Home Health Care | Certificate of waiver | May 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sreeman Namputhiri | Corporate Officer | Jul 29, 2012 | |
| Omana Nair | Corporate Officer | Jul 29, 2012 | |
| Leelavathi Namputhiri | 5% Or Greater Direct Ownership Interest | Jul 29, 2012 | 100% |
| W-2 Managing Employee | Mar 20, 2006 | ||
| Geetha Sekher | Corporate Officer | Apr 14, 2022 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Gerontology Registered Nurse
- Mesquite, TX
- NPI 1003331869
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.