Organization Active NPI

Wellcare Group Home Health Inc.

  • Home Health Registered Nurse
  • Garland, TX
National Provider Identifier
1396995627
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
WELLCARE GROUP HOME HEALTH INC.
Practice address
5117 Hearthcrest Dr
Garland, TX 75044
Phone
(214) 597-6665
Fax
(972) 496-0391
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
George Agwaife
Title
Administrator
Phone
(214) 597-6665

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X

Addresses

Primary practice location

5117 Hearthcrest Dr
Garland, TX 75044

Mailing address

5117 Hearthcrest Dr
Garland, TX 75044
Phone (214) 597-6665

Other names 1

  • Wellcare Group Home Health Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090213000433 TX Part A Provider - Home Health Agency 5092870675 Practice locations: Richardson, TX

Home health agency certification: CCN 747327

Legal name
WELLCARE GROUP HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 16, 2009
Last certification
Dec 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 25, 2008 in TX
Enrollment address
777 South Central Expressway
Suite 1-P
Richardson, TX 75080
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellcare Group Home Health IncCCN 747327 · All quality measures
Ownership
Proprietary
Certified
Dec 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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
45D1091998Wellcare Group Home Health777 South Central Expressway, Suite 1-P, Richardson, TX 75080Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

777 S Central Expy
Ste 1P
Richardson, TX 75080
Phone (927) 907-3622

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
George Agwaife Individual 5% Or Greater Direct Ownership Interest Nov 10, 2008 100%
Stella Agwaife Individual Corporate Director Nov 10, 2008
W-2 Managing Employee Feb 10, 2009

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1396995627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 HEARTHCREST DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "214-597-6665",
            "fax_number": "972-496-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 HEARTHCREST DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "214-597-6665",
            "fax_number": "972-496-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE GROUP HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "AGWAIFE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-597-6665"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Group Home Health Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.