Organization Active NPI

Acce Healthcare Group Inc.

  • Community Based Hospice Care Agency
  • Forney, TX
National Provider Identifier
1295237683
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ACCE HEALTHCARE GROUP INC.
Practice address
101 Hazelnut TRL
Forney, TX 75126-6884
Phone
(214) 673-1474
Fax
(972) 552-7797
NPI assigned
Mar 2, 2018
Organization subpart
Yes
Parent organization
ACCE HEALTHCARE GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Emeka Ifenwanta, RN, BSN
Title
Administrator
Phone
(214) 673-1474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

101 Hazelnut TRL
Forney, TX 75126-6884

Mailing address

101 Hazelnut TRL
Forney, TX 75126-6884

Other names 1

  • ACCE Hospice Care Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190624002081 TX Part A Provider - Hospice 7618201716 Practice locations: Forney, TX

Hospice certification: CCN 971608

Legal name
ACCE HEALTHCARE GROUP INC.
Doing business as
ACCE HOSPICE CARE AGENCY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 15, 2020
Last certification
Oct 15, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 21, 2018 in TX
Enrollment address
101 Hazelnut TRL
Forney, TX 75126-6884

Care Compare: Hospice

Medicare Care Compare
Listed as
Acce Hospice Care AgencyCCN 971608
Ownership
For-Profit
Certified
Oct 15, 2020
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2154400Acce Hospice Care Agency101 Hazelnut Trail, Forney, TX 75126Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Part of
Acce Healthcare Group Inc

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
Adaku Ifenwanta Individual 5% Or Greater Direct Ownership Interest Feb 21, 2018 50%
Corporate DirectorDirector Feb 21, 2018 50%
Emeka Ifenwanta Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Feb 21, 2018 50%
Corporate DirectorAdministrator Feb 21, 2018 50%
W-2 Managing Employee Feb 21, 2018

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1295237683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HAZELNUT TRL",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HAZELNUT TRL",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266884",
            "telephone_number": "214-673-1474",
            "fax_number": "972-552-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCE HEALTHCARE GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCE HEALTHCARE GROUP INC.",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "IFENWANTA",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-673-1474",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCE Hospice Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.