Active NPI
Mustard Seed Healthcare Services Inc
- Home Health Agency
- Lewisville, TX
National Provider Identifier
1386406692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 1826 Crosshaven Dr
Lewisville, TX 75077-2470
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2306815 | Mustard Seed Healthcare Services Inc | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Amaechi | 5% Or Greater Direct Ownership Interest | Jan 7, 2023 | 50% |
| W-2 Managing Employee | Jul 2, 2024 | 50% | |
| Sabinus Amaechi | 5% Or Greater Direct Ownership Interest | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.