Active NPI
Safeway Healthcare Services Inc.
- Home Health Agency
- Grand Prairie, TX
National Provider Identifier
1700010691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012771
- Legal business name
- SAFEWAY HEALTHCARE SERVICES INC.
- Practice address
- 2100 Virginia St Ste H
Grand Prairie, TX 75051-3798 - Phone
- (972) 262-7662
- Fax
- (972) 262-7663
- NPI assigned
- May 7, 2009
- 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. Clifford Akharoh, ADMINISTRATOR
- Title
- Administrator
- Phone
- (817) 899-3146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012771 | TX | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
2100 Virginia St Ste H
Grand Prairie, TX 75051-3798
Mailing address
2100 Virginia St Ste H
Grand Prairie, TX 75051-3798
Phone (972) 262-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091110000572 | TX | Part A Provider - Home Health Agency | 7517005606 | Practice locations: Grand Prairie, TX |
Home health agency certification: CCN 747646
- Legal name
- SAFEWAY HEALTHCARE SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 3, 2011
- Last certification
- Oct 6, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 14, 2009 in TX
- Enrollment address
- 2100 Virginia Dr
Ste H
Grand Prairie, TX 75051-3798
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Safeway Healthcare Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 3, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2100 Virginia St
Ste H
Grand Prairie, TX 75051
Phone (972) 262-7662
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Clifford Akharoh | 5% Or Greater Direct Ownership Interest | Jan 14, 2009 | 80% |
| Corporate Director | Oct 16, 2009 | ||
| W-2 Managing Employee | Jan 14, 2009 | ||
| Priscilla Akharoh | 5% Or Greater Direct Ownership Interest | Jan 14, 2009 | 20% |
| Corporate Director | Oct 16, 2009 | ||
| W-2 Managing Employee | Oct 16, 2009 |
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": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1700010691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 VIRGINIA ST STE H",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513798",
"telephone_number": "972-262-7662",
"fax_number": "972-262-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 VIRGINIA ST STE H",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513798",
"telephone_number": "972-262-7662",
"fax_number": "972-262-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY HEALTHCARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "AKHAROH",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-899-3146",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012771",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.