Organization Active NPI

Defaith Home Health Agency Inc

  • Home Health Agency
  • Richardson, TX
National Provider Identifier
1417494204
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEFAITH HOME HEALTH AGENCY INC
Practice address
777 S Central Expy Ste 1F
Richardson, TX 75080-7412
Phone
(469) 684-2105
Fax
(972) 598-9536
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Deborah Ugwa, RN, BSN
Title
Director
Phone
(469) 684-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

777 S Central Expy Ste 1F
Richardson, TX 75080-7412

Mailing address

2331 Gus Thomasson Rd
Suite 137
Dallas, TX 75228-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508003777 TX Part A Provider - Home Health Agency 6800243858 Practice locations: Richardson, TX

Home health agency certification: CCN 748149

Legal name
DEFAITH HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 2025
Last certification
May 30, 2025
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2022 in TX
Enrollment address
777 S Central Expy
Ste 1F
Richardson, TX 75080-7412

Care Compare: Home health agency

Medicare Care Compare
Listed as
Defaith Home Health Agency IncCCN 748149 · All quality measures
Ownership
Proprietary
Certified
Jun 10, 2025
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
45D2280454Defaith Home Health Agency, Inc777 S Central Expressway Suite 1F, Richardson, TX 75080Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

2331 Gus Thomasson Rd
Ste 137
Dallas, TX 75228
Phone (214) 321-1323

Ownership & related parties

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.

NameRoleSinceShare
Deborah Ugwa Individual 5% Or Greater Direct Ownership InterestOwner Jun 10, 2025 100%
Corporate DirectorBoard President Jun 10, 2025 100%
W-2 Managing EmployeeNurse Jun 10, 2025 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1417494204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 GUS THOMASSON RD",
            "address_2": "SUITE 137",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY STE 1F",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807412",
            "telephone_number": "469-684-2105",
            "fax_number": "972-598-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFAITH HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "UGWA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-684-2105",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.