Active NPI
Hallmark Healthcare LLC
- Home Health Agency
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HALLMARK HEALTHCARE LLC
- Practice address
- 2307 Central Drive
Suite B2
Bedford, TX 76021-7747 - Phone
- (817) 553-1900
- Fax
- (817) 553-1902
- NPI assigned
- Jul 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emmanuel Etuokwu, RN, AGNP
- Title
- Alt Administrator
- Phone
- (214) 905-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
2307 Central Drive
Suite B2
Bedford, TX 76021-7747
Mailing address
2307 Central Drive
Suite B2
Bedford, TX 76021-7747
Phone (817) 553-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000195 | TX | Part A Provider - Home Health Agency | 4183789514 | Practice locations: Bedford, TX |
Home health agency certification: CCN 747211
- Legal name
- HALLMARK HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 1, 2009
- Last certification
- Feb 1, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 21, 2008 in TX
- Enrollment address
- 2307 Central Drive
Ste B2
Bedford, TX 76021-7747
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Hallmark Healthcare LLC
- Ownership
- Proprietary
- Certified
- Sep 1, 2009
- Medicare certification status
- Active
- Services
- Nursing
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1090489 | Hallmark Healthcare, LLC | Certificate of waiver | Oct 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
2307 Central Dr
Ste B2
Bedford, TX 76021
Phone (817) 553-1900
8500 N Stemmons Fwy
Ste 5005
Dallas, TX 75247
Phone (214) 905-1900
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Emmanuel Etuokwu | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | |
| W-2 Managing Employee | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adult Health Nurse Practitioner
- Fort Worth, TX
- NPI 1154897502
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Fort Worth, TX
- NPI 1154897502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1669635652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 CENTRAL DRIVE",
"address_2": "SUITE B2",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217747",
"telephone_number": "817-553-1900",
"fax_number": "817-553-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 CENTRAL DRIVE",
"address_2": "SUITE B2",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217747",
"telephone_number": "817-553-1900",
"fax_number": "817-553-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALLMARK HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-09",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "ETUOKWU",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "ALT ADMINISTRATOR",
"authorized_official_telephone_number": "214-905-1900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, AGNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.