Organization Active NPI

Backed by Grace PLLC

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1174387971
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BACKED BY GRACE PLLC
Practice address
2451 Klamath Dr
Lewisville, TX 75056-6789
Phone
(214) 597-4465
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Marvise Ijeoma Oduagu, NPNPI 1679136220
Title
Miss/Nurse Pracitioner
Phone
(214) 597-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2451 Klamath Dr
Lewisville, TX 75056-6789

Mailing address

2451 Klamath Dr
Lewisville, TX 75056-6789
Phone (214) 597-4465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823003968 TX Part A Provider - Home Health Agency 5991244790 Practice locations: Lewisville, TX

Home health agency certification: CCN 748185

Legal name
BACKED BY GRACE PLLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 6, 2025
Last certification
Oct 22, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 5, 2024 in TX
Enrollment address
2451 Klamath Dr
Lewisville, TX 75056-6789

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
45D2326435Backed by Grace, PLLC2451 Klamath Dr, Lewisville, TX 75056Certificate of waiverJul 2, 2027

National Provider Directory

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
Marvise I Oduagu Individual 5% Or Greater Direct Ownership InterestOwner/President/Treasurer/Admin/Don Feb 5, 2024 100%
Corporate DirectorOwner/President/Treasurer/Admin/Don Feb 5, 2024 50%
W-2 Managing EmployeeAd;Don Feb 5, 2024 50%
Ogochukwu V Okafor Individual Corporate DirectorVice President/Secretary Feb 5, 2024 50%
Juliet U Arihi Individual W-2 Managing EmployeeAlt Admin/Alt Don Feb 5, 2024 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1174387971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 KLAMATH DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566789",
            "telephone_number": "214-597-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 KLAMATH DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566789",
            "telephone_number": "214-597-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKED BY GRACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ODUAGU",
        "authorized_official_first_name": "MARVISE",
        "authorized_official_middle_name": "IJEOMA",
        "authorized_official_title_or_position": "MISS/NURSE PRACITIONER",
        "authorized_official_telephone_number": "214-597-4465",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.