Assisting Grace Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ASSISTING GRACE HOME HEALTH, LLC

Practice address

9964 Downey Emerald Dr
Conroe, TX 77385-5602

Phone

(346) 497-8989

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rukiya Washington

Title

Administrator

Phone

(832) 496-3761

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396461430. Details of each certification follow.

• CCN 748146 Home health agency · Active · Details

Home health agency certification: CCN 748146

Legal name

ASSISTING GRACE HOME HEALTH, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 24, 2024

Last certification

Sep 10, 2024

Organization structure

LLCProprietary

Incorporated

Aug 2, 2023 in TX

Enrollment address

24800 I-45
Ste. 206
Spring, TX 77386

Listed as

Assisting Grace Home Health LLCCCN 748146 · All quality measures

Ownership

-

Certified

Sep 24, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1396461430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9964 DOWNEY EMERALD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773855602",
            "telephone_number": "346-497-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9964 DOWNEY EMERALD DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773855602",
            "telephone_number": "346-497-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTING GRACE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RUKIYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-496-3761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rukiyawashington@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9964 Downey Emerald Dr",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773855602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.

Verify at the official NPI Registry.