Organization Active NPI

Kingly Home Health Care Inc

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1598858870
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009978 Issued in TX
Legal business name
KINGLY HOME HEALTH CARE INC
Practice address
1219 Stewart Dr
Irving, TX 75061-7354
Phone
(469) 586-4560
Fax
(468) 586-4561
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Mrs. Rachel Philip, RN
Title
Administrator
Phone
(469) 586-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009978 TX Primary

Addresses

Primary practice location

1219 Stewart Dr
Irving, TX 75061-7354

Mailing address

1219 Stewart Dr
Irving, TX 75061-7354
Phone (469) 586-4560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000100 TX Part A Provider - Home Health Agency 9436189438 Practice locations: Irving, TX

Home health agency certification: CCN 677982

Legal name
KINGLY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 5, 2006
Last certification
May 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 26, 2005 in TX
Enrollment address
1219 Stewart Drive
Irving, TX 75061-7354

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kingly Home Health Care, Incorporated.CCN 677982 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 5, 2006
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
45D1043967Kingly Home Health Care Incorporated1219 Stewart Drive, Irving, TX 75061Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

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
Chamathil Philip Individual 5% Or Greater Direct Ownership Interest May 26, 2005
Corporate Officer May 26, 2005
Corporate Director Aug 19, 2005
W-2 Managing Employee May 26, 2005
Rachel Philip Individual 5% Or Greater Direct Ownership Interest May 26, 2005
Corporate Director Aug 19, 2005
W-2 Managing Employee May 26, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1598858870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 STEWART DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617354",
            "telephone_number": "469-586-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 STEWART DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617354",
            "telephone_number": "469-586-4560",
            "fax_number": "468-586-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGLY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-586-4560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.