NPIMap

Organization Active NPI

Grace Home Health Inc

  • Home Health Agency
  • Plano, TX
National Provider Identifier
1063513620
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008284 Issued in TX
Legal business name
GRACE HOME HEALTH INC
Practice address
5045 Lorimar Dr
Suite 260
Plano, TX 75093-5720
Phone
(469) 326-1700
Fax
(469) 326-1704
NPI assigned
Sep 26, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Mr. Thomas Zachariah
Title
Ceo
Phone
(469) 326-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008284 TX Primary

Addresses

Primary practice location

5045 Lorimar Dr
Suite 260
Plano, TX 75093-5720

Mailing address

5045 Lorimar Dr
Suite 260
Plano, TX 75093-5720
Phone (469) 326-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816001169 TX Part A Provider - Home Health Agency 8224948765 Practice locations: Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063513620. Details of each certification follow.

Home health agency certification: CCN 679309

Legal name
GRACE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 2003
Last certification
Jan 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 30, 2002 in TX
Enrollment address
5045 Lorimar Dr
Ste 260
Plano, TX 75093-5721

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grace Home Health IncCCN 679309 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 17, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5045 Lorimar Dr
Ste 260
Plano, TX 75093
Phone (469) 326-1700

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
Gracy Anna Zachariah Individual 5% Or Greater Direct Ownership Interest Jul 12, 2005 50%
Corporate Officer Jul 31, 2003
Corporate Director Jul 31, 2003
W-2 Managing Employee Jul 31, 2003
Thomas Zachariah Individual 5% Or Greater Direct Ownership Interest Jul 12, 2005 50%
Corporate Officer Jul 31, 2003
W-2 Managing Employee Jul 31, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1063513620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR",
            "address_2": "SUITE 260",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935720",
            "telephone_number": "469-326-1700",
            "fax_number": "469-326-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR",
            "address_2": "SUITE 260",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935720",
            "telephone_number": "469-326-1700",
            "fax_number": "469-326-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-326-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.