Calvary Home Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CALVARY HOME HEALTHCARE SERVICES, LLC

Practice address

1106 N State Highway 360 Ste 303
Grand Prairie, TX 75050-2511

Phone

(469) 909-1511

Fax

(469) 909-1512

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Louis Tenje Mangong

Title

President

Phone

(408) 449-0492

Specialties & licenses 1

Addresses

Other names 2

• Comforcare Home Care-Grand Prairie & Fort Worth S LLC Other name
• Comforcare Homecare-Grand Prairie & Fort Worth S LLC Other name

Locations

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1336969161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360 STE 303",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502511",
            "telephone_number": "469-909-1511",
            "fax_number": "469-909-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360 STE 303",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502511",
            "telephone_number": "469-909-1511",
            "fax_number": "469-909-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MANGONG",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "TENJE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-449-0492"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comforcare Home Care-Grand Prairie & Fort Worth S LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Comforcare Homecare-Grand Prairie & Fort Worth S LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Lashawn Cain, LSSP
• Calab Inc
• Calab Inc
• Janelle Ricole Calhoun, P.T.
• Octavia R Calhoun, PT
• Camelot Health Care Corporation
• Marcie Campbell, OT
• Sabrina Cangas, PHARMD
• Devaunier Cannon, LCSW
• James Quy Cao, O.D.

• In Home Supportive Care Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.