Organization Active NPI

Korean Home Health Care Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1205013257
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012077 Issued in TX
Legal business name
KOREAN HOME HEALTH CARE INC
Practice address
1908 Royal LN Ste 100
Dallas, TX 75229-0263
Phone
(972) 241-9996
Fax
(972) 241-9997
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Mrs. Seoung Ju Ryou, RN
Title
Owner
Phone
(972) 570-2417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012077 TX Primary
In Home Supportive Care Agency 253Z00000X 012077 TX

Addresses

Primary practice location

1908 Royal LN Ste 100
Dallas, TX 75229-0263

Mailing address

1908 Royal LN Ste 100
Dallas, TX 75229-0263
Phone (972) 241-9996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000280 TX Part A Provider - Home Health Agency 4789759333 Practice locations: Dallas, TX

Home health agency certification: CCN 747139

Legal name
KOREAN HOME HEALTH CARE INC
Doing business as
KOREAN HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 2009
Last certification
May 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 2, 2007 in TX
Enrollment address
1908 Royal Lane
Ste 100
Dallas, TX 75229-3128

Care Compare: Home health agency

Medicare Care Compare
Listed as
Korean Home HealthCCN 747139 · All quality measures
Ownership
Proprietary
Certified
Jun 11, 2009
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
45D1082626Korean Home Health Care,Inc1908 Royal Lane #100, Dallas, TX 75229Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1908 Royal Ln
Ste 100
Dallas, TX 75229
Phone (972) 241-9996

2828 Forest Ln
#2120
Dallas, TX 75234
Phone (972) 241-9996

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
Linh Atkins Individual W-2 Managing EmployeeAlt. Administrator Jan 1, 2015
Seoung Ju Ryou Individual Contracted Managing Employee Nov 2, 2007
5% Or Greater Direct Ownership InterestOwner Nov 2, 2007 100%
5% Or Greater Indirect Ownership InterestOwner Nov 2, 2007 100%
5% Or Greater Mortgage Interest Nov 2, 2007
5% Or Greater Security Interest Nov 2, 2007
General Partnership Interest Nov 2, 2007
Limited Partnership Interest Nov 2, 2007
Corporate OfficerOwner Nov 2, 2007 100%
Corporate DirectorOwner Nov 2, 2007 100%
W-2 Managing EmployeeOwner Nov 2, 2007 100%
Operational/Managerial ControlOwner Nov 2, 2007 100%
OtherOwner Nov 2, 2007 100%

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1205013257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752290263",
            "telephone_number": "972-241-9996",
            "fax_number": "972-241-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752290263",
            "telephone_number": "972-241-9996",
            "fax_number": "972-241-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "RYOU",
        "authorized_official_first_name": "SEOUNG JU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-570-2417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012077",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "012077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.