Organization Active NPI

Mustard Seed Healthcare Services Inc

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1386406692
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUSTARD SEED HEALTHCARE SERVICES INC
Practice address
1826 Crosshaven Dr
Lewisville, TX 75077-2470
Phone
(469) 274-0652
Fax
(972) 956-8356
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Mr. Sabinus Amaechi
Title
Administrator
Phone
(469) 274-9652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1826 Crosshaven Dr
Lewisville, TX 75077-2470

Mailing address

1826 Crosshaven Dr
Lewisville, TX 75077-2470
Phone (469) 274-0652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002125 TX Part A Provider - Home Health Agency 4789188152 Practice locations: Lewisville, TX

Home health agency certification: CCN 748190

Legal name
MUSTARD SEED HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2026
Last certification
Jan 13, 2026
Organization structure
CorporationProprietary
Enrollment address
1826 Crosshaven Dr
Lewisville, TX 75077-2470

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
45D2306815Mustard Seed Healthcare Services Inc1826 Crosshaven Dr, Lewisville, TX 75077Certificate of waiverJun 24, 2028

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
Angela Amaechi Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Jan 7, 2023 50%
W-2 Managing EmployeeNurse Supervisor Jul 2, 2024 50%
Sabinus Amaechi Individual 5% Or Greater Direct Ownership InterestAdministrator Jan 7, 2023 50%

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1386406692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 CROSSHAVEN DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772470",
            "telephone_number": "469-274-0652",
            "fax_number": "972-956-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 CROSSHAVEN DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772470",
            "telephone_number": "469-274-0652",
            "fax_number": "972-956-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "AMAECHI",
        "authorized_official_first_name": "SABINUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-274-9652",
        "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 Lewisville, TX

Sources for this page

Verify at the official NPI Registry.