Organization Active NPI

Deltacare Home Health Services LLC

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1356352033
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009062 Issued in TX
Legal business name
DELTACARE HOME HEALTH SERVICES LLC
Practice address
2608 Texas Dr
Irving, TX 75062-7058
Phone
(972) 255-6171
Fax
(972) 257-3193
NPI assigned
Aug 10, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Sophiamma Chacko
Title
Administrator
Phone
(972) 255-6171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009062 TX Primary
Personal Care Attendant 3747P1801X NU

Addresses

Primary practice location

2608 Texas Dr
Irving, TX 75062-7058

Mailing address

2608 Texas Dr
Irving, TX 75062-7058
Phone (972) 255-6171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000866 TX Part A Provider - Home Health Agency 6608851365 Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356352033. Details of each certification follow.

Home health agency certification: CCN 453195

Legal name
DELTACARE HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2004
Last certification
May 6, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 3, 2003 in TX
Enrollment address
2608 Texas Drive
Irving, TX 75062-7058
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Deltacare Home Health Service, LLCCCN 453195 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 23, 2004
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
45D1019829Deltacare Home Health Services LLC2608 Texas Dr, Irving, TX 75062Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

2121 W Airport Fwy
Ste 320
Irving, TX 75062
Phone (214) 529-6820

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Vivian Nguyen Individual Corporate OfficerAlternate Administrator Apr 20, 2022
Sophiamma Chacko Individual 5% Or Greater Direct Ownership Interest Oct 23, 2003
Corporate DirectorDon, Administrator Jan 26, 2004 100%
W-2 Managing Employee Oct 23, 2003
Oscar Bermejo Individual W-2 Managing EmployeeAlt Don Nov 30, 2019
Thazhatha Chacko Individual Corporate OfficerChief Financial Officer Jul 1, 2008 100%
Corporate Director Jun 18, 2004
W-2 Managing Employee Oct 23, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1356352033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 TEXAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627058",
            "telephone_number": "972-255-6171",
            "fax_number": "972-257-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 TEXAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627058",
            "telephone_number": "972-255-6171",
            "fax_number": "972-257-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTACARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "SOPHIAMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-255-6171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009062",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.