Organization Active NPI

New Grace Home Health Services Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1235300682
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW GRACE HOME HEALTH SERVICES INC
Practice address
2622 Woodpark Dr
Garland, TX 75044-7882
Phone
(214) 431-6712
Fax
(469) 298-3233
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Mrs. Winifred Udeogu-Moore, RN
Title
Owner/Administrator
Phone
(214) 431-6712

Specialties & licenses 1

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

Addresses

Primary practice location

2622 Woodpark Dr
Garland, TX 75044-7882

Mailing address

2622 Woodpark Dr
Garland, TX 75044-7882
Phone (214) 431-6712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000207 TX Part A Provider - Home Health Agency 1850469313 Practice locations: Garland, TX

Home health agency certification: CCN 747359

Legal name
NEW GRACE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2010
Last certification
Sep 4, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 22, 2008 in TX
Enrollment address
2622 Woodpark Drive
Garland, TX 75044-7882

Care Compare: Home health agency

Medicare Care Compare
Listed as
New Grace Home Health Services IncCCN 747359
Ownership
Proprietary
Certified
Mar 17, 2010
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
45D1088461New Grace Home Health Services,Inc2622 Woodpark Drive, Garland, TX 75044Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory

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
New Grace Home Health Services Inc Organization, Garland, TX Corporation 5% Or Greater Direct Ownership Interest Feb 4, 2012
Winifred Moore Individual 5% Or Greater Direct Ownership Interest Aug 14, 2008
Corporate Director Aug 14, 2008
W-2 Managing Employee Aug 14, 2008

Owners & managing parties with NPI records 1

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.

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1235300682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 WOODPARK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447882",
            "telephone_number": "214-431-6712",
            "fax_number": "972-997-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 WOODPARK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447882",
            "telephone_number": "214-431-6712",
            "fax_number": "469-298-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GRACE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "UDEOGU-MOORE",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-431-6712",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.