Organization Active NPI

Texas Health Home Care LLC

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1740995117
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TEXAS HEALTH HOME CARE LLC
Practice address
3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Phone
(469) 868-4455
Fax
(469) 647-5179
NPI assigned
Jan 19, 2023
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Rushi ShahiwalaNPI 1255622973
Title
Owner
Phone
(469) 647-4833

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

3365 Regent Blvd Ste 130
Irving, TX 75063-3127

Mailing address

3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Phone (469) 868-4455

Other identifiers 1

IdentifierTypeStateIssuer
93047OtherTXACHC ACCREDITATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807003576 TX Part A Provider - Home Health Agency 9032570007 Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740995117. Details of each certification follow.

Home health agency certification: CCN 748124

Legal name
TEXAS HEALTH HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2024
Last certification
Jul 24, 2024
Organization structure
LLCProprietary
Incorporated
Mar 29, 2022 in TX
Enrollment address
3365 Regent Blvd
Ste 130
Irving, TX 75063-3127

Care Compare: Home health agency

Medicare Care Compare
Listed as
Texas Health Home Care LLCCCN 748124 · All quality measures
Ownership
-
Certified
Aug 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2293638Texas Health Home Care LLC3365 Regent Blvd Suite 130, Irving, TX 75063Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Rushi Shahiwala Individual 5% Or Greater Direct Ownership InterestOwner Mar 29, 2022 100%
Operational/Managerial ControlOwner Mar 29, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1740995117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "469-868-4455",
            "fax_number": "469-647-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "469-868-4455",
            "fax_number": "469-647-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SHAHIWALA",
        "authorized_official_first_name": "RUSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-647-4833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHC ACCREDITATION",
            "identifier": "93047",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.