Organization Active NPI

His Grace Home Health Care LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1215216742
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIS GRACE HOME HEALTH CARE LLC
Practice address
9013 Friendswood Dr
Fort Worth, TX 76123-2723
Phone
(817) 443-7023
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Mr. Rogelio Galinsuga
Title
Owner
Phone
(817) 443-7023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9013 Friendswood Dr
Fort Worth, TX 76123-2723

Mailing address

1201 N Watson Rd Ste 261
Arlington, TX 76006-6258
Phone (817) 726-3097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000835 TX Part A Provider - Home Health Agency 9133385115 Practice locations: Arlington, TX

Home health agency certification: CCN 747850

Legal name
HIS GRACE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2013
Last certification
Jan 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 16, 2011 in TX
Enrollment address
1201 N Watson Rd
Ste 261
Arlington, TX 76006-6190

Care Compare: Home health agency

Medicare Care Compare
Listed as
His Grace Home Health Care LLCCCN 747850
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 12, 2013
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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Rogelio Galinsuga Individual 5% Or Greater Direct Ownership Interest Aug 16, 2011 100%
W-2 Managing Employee Aug 16, 2011

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1215216742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 261",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066258",
            "telephone_number": "817-726-3097",
            "fax_number": "682-206-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 FRIENDSWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232723",
            "telephone_number": "817-443-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "GALINSUGA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-443-7023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.