Dallas County Physicians Choice Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DALLAS COUNTY PHYSICIANS CHOICE HOMECARE LLC

Practice address

1930 E Rosemeade Pkwy Ste 200B
Carrollton, TX 75007-2473

Phone

(214) 906-1373

Fax

(972) 325-1110

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Stanly Simon

Title

Administrator

Phone

(972) 734-5900

Specialties & licenses 3

Addresses

Other names 1

• NOURISH HOMEHEALTH AND THERAPY SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747699

Legal name

DALLAS COUNTY PHYSICIAN'S CHOICE HOMECARE LLC

Doing business as

NOURISH HOMEHEALTH AND THERAPY SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 9, 2012

Last certification

Mar 13, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

1930 E Rosemeade Pkwy
Ste 204B
Carrollton, TX 75007

Listed as

Nourish Homehealth and Therapy ServicesCCN 747699

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Apr 9, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 4

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Holly Bell Canaday, M.D.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1255879581

  Home health agency

  Care Compare affiliation
• Jill A Gramer, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1447229224

  Home health agency

  Care Compare affiliation
• David T D Pham, APRN-FNP

  • Family Nurse Practitioner
  • Mesquite, TX
  • NPI 1487849188

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1497059554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 FENS DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071229",
            "telephone_number": "972-734-5900",
            "fax_number": "972-325-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 200B",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072473",
            "telephone_number": "214-906-1373",
            "fax_number": "972-325-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY PHYSICIANS CHOICE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STANLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-734-5900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "747699",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "013970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOURISH HOMEHEALTH AND THERAPY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Carrollton, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.