Organization Active NPI

Safeway Healthcare Services Inc.

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1700010691
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012771 Issued in TX
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

Updated by the provider on May 21, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 747646 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 3, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Clifford Akharoh Individual 5% Or Greater Direct Ownership Interest Jan 14, 2009 80%
Corporate Director Oct 16, 2009
W-2 Managing EmployeeAdministrator, Supervising Nurse Jan 14, 2009
Priscilla Akharoh Individual 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

Verify at the official NPI Registry.