Organization Active NPI

Gradark Compassion Care Inc

Doing business as Grace Compassion Home Health Agency

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1124342670
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRADARK COMPASSION CARE INC
Doing business as
Grace Compassion Home Health Agency
Practice address
8330 LBJ Fwy Ste 915
Dallas, TX 75243-1387
Phone
(972) 516-1069
Fax
(888) 607-7023
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Grace Darko, RN
Title
President
Phone
(972) 516-1069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8330 LBJ Fwy Ste 915
Dallas, TX 75243-1387

Mailing address

8330 LBJ Fwy Ste 915
Dallas, TX 75243-1387
Phone (972) 516-1069

Other identifiers 3

IdentifierTypeStateIssuer
325759403MedicaidTX
325759401MedicaidTX
325759402MedicaidTX

Other names 1

  • Grace Compassion Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110418000234 TX Part A Provider - Home Health Agency 3072797984 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124342670. Details of each certification follow.

Home health agency certification: CCN 747729

Legal name
GRADARK COMPASSION CARE INC
Doing business as
GRACE COMPASSION HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 20, 2012
Last certification
Mar 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2009 in TX
Enrollment address
8330 LBJ Freeway
Suite 915
Dallas, TX 75243-6505
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grace Compassion Home Health AgencyCCN 747729 · All quality measures
Ownership
Proprietary
Certified
Apr 20, 2012
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
Tax ID family
Grace Compassion Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Juliana Ocansey Individual Operational/Managerial ControlAlternate Director of Nurses Aug 28, 2014 25%
Grace Darko Individual 5% Or Greater Direct Ownership Interest Jan 31, 2011
Corporate Director Jan 31, 2011
W-2 Managing Employee Jan 31, 2011
Jonathan Darko Individual 5% Or Greater Direct Ownership Interest Oct 1, 2009 50%
Corporate Director Jan 31, 2011
Operational/Managerial ControlAlternate Administrator Aug 28, 2014 25%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1124342670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LBJ FWY STE 915",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431387",
            "telephone_number": "972-516-1069",
            "fax_number": "888-607-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LBJ FWY STE 915",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431387",
            "telephone_number": "972-516-1069",
            "fax_number": "888-607-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADARK COMPASSION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DARKO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-516-1069",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325759403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325759401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325759402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Compassion Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Compassion Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.