Organization Active NPI

Cannulif Healthcare Services, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1922280221
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANNULIF HEALTHCARE SERVICES, INC
Practice address
11526 Harry Hines Blvd Ste 106C
Dallas, TX 75229-8120
Phone
(214) 503-8941
Fax
(214) 503-8955
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mrs. Young Sook Kang, RN
Title
Administrator
Phone
(214) 923-2009

Specialties & licenses 2

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

Addresses

Primary practice location

11526 Harry Hines Blvd Ste 106C
Dallas, TX 75229-8120

Mailing address

11526 Harry Hines Blvd Ste 106C
Dallas, TX 75229-8120
Phone (214) 503-8941

Other identifiers 1

IdentifierTypeStateIssuer
1922280221MedicaidTX

Other names 1

  • Santa Maria Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000111 TX Part A Provider - Home Health Agency 3173695228 Practice locations: Farmers Branch, TX

Home health agency certification: CCN 747444

Legal name
CANNULIF HEALTHCARE SERVICES, INC.
Doing business as
SANTA MARIA HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 7, 2010
Last certification
Oct 19, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 9, 1998 in TX
Enrollment address
2665 Villa Creek Dr
Ste A125
Farmers Branch, TX 75234-7309

Care Compare: Home health agency

Medicare Care Compare
Listed as
Santa Maria Home Health AgencyCCN 747444
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 7, 2010
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
45D1078388Cannulif Healthcare Services, Inc11526 Harry Hines Blvd Ste 106C, Dallas, TX 75229Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

11500 N Stemmons Fwy
Ste 133
Dallas, TX 75229
Phone (214) 503-8941

11526 Harry Hines Blvd
Ste 106C
Dallas, TX 75229
Phone (214) 503-8941

2665 Villa Creek Dr
Ste 125
Farmers Branch, TX 75234

2665 Villa Creek Dr
Ste A125
Farmers Branch, TX 75234
Phone (214) 503-8941

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
Young Kang Individual 5% Or Greater Direct Ownership InterestAdministrator/Don Jan 1, 2017 100%
Corporate OfficerCeo Jan 1, 2017 100%
Corporate DirectorCeo Jan 1, 2017 100%
W-2 Managing EmployeeCeo/Administrator Jan 1, 2017 100%

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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1922280221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11526 HARRY HINES BLVD STE 106C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752298120",
            "telephone_number": "214-503-8941",
            "fax_number": "214-503-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11526 HARRY HINES BLVD STE 106C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752298120",
            "telephone_number": "214-503-8941",
            "fax_number": "214-503-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNULIF HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-923-2009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "NA",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922280221",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Maria Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.