Organization Active NPI

Healthy Choice Homecare, LLC

  • Home Health Agency
  • Plano, TX
National Provider Identifier
1992962914
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012167 Issued in TX
Legal business name
HEALTHY CHOICE HOMECARE, LLC
Practice address
4601 Old Shepard PL
Suite 401
Plano, TX 75093-5279
Phone
(972) 612-5370
Fax
(972) 476-1138
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

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

Authorized official

Name
Mr. Xingkui Pan, OTR
Title
Administrator
Phone
(972) 612-5370

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012167 TX Primary
Nursing Care Agency 251J00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

4601 Old Shepard PL
Suite 401
Plano, TX 75093-5279

Mailing address

4601 Old Shepard PL
Suite 401
Plano, TX 75093-5279
Phone (972) 612-5370

Other identifiers 1

IdentifierTypeStateIssuer
001017952MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081217000158 TX Part A Provider - Home Health Agency 3678635141 Practice locations: Plano, TX
O20250321002016 TX Part A Provider - Hospice 3678635141 Practice locations: Plano, TX

Home health agency certification: CCN 747118

Legal name
HEALTHY CHOICE HOMECARE, LLC
Doing business as
HEALTHY CHOICE HOMECARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 14, 2009
Last certification
Apr 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 18, 2008 in TX
Enrollment address
4601 Old Shepard Place
Ste 401
Plano, TX 75093-5274

Hospice certification: CCN A91761

Legal name
HEALTHY CHOICE HOMECARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 4, 2025
Last certification
May 23, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
4601 Old Shepard PL
Ste 401
Plano, TX 75093-5274

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthy Choice Homecare LLCCCN 747118
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 14, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Healthy Choice Homecare LLCCCN A91761
Certified
Jun 4, 2025
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
45D1097422Healthy Choice Homecare,LLC4601 Old Shepard Place, Suite 401, Plano, TX 75093Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

4601 Old Shepard Pl
Ste 401
Plano, TX 75093
Phone (972) 612-5370

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kurt Pan Individual 5% Or Greater Direct Ownership Interest Apr 18, 2008
Corporate DirectorAdministrator Apr 18, 2008
W-2 Managing Employee May 16, 2008
Operational/Managerial Control Apr 18, 2008
5% Or Greater Direct Ownership InterestAdministrator Apr 18, 2008 51%
W-2 Managing EmployeeAd; Jun 15, 2009 25%
Xingxing Shi Individual W-2 Managing EmployeeDirector of Nursing Dec 1, 2024
W-2 Managing EmployeeDirector of Nursing Dec 1, 2024 15%
Shanfeng Su Individual 5% Or Greater Direct Ownership Interest Apr 18, 2008
Corporate DirectorAlternate Administrator, D.O.N. Apr 18, 2008
W-2 Managing Employee May 16, 2008
Operational/Managerial Control Apr 18, 2008
5% Or Greater Direct Ownership InterestAlternate Administrator Apr 18, 2008 49%
W-2 Managing EmployeeAlternate Director of Nursing Jun 15, 2009 25%
Charlotte Pan Individual W-2 Managing EmployeeHR Director Dec 1, 2024
Cindy Pan Individual W-2 Managing EmployeeChief Operating Officer Dec 1, 2024 15%
Jack J. Ni Individual W-2 Managing EmployeeMD; Dec 4, 2024 20%

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549670400000",
    "number": "1992962914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "SUITE 401",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "972-612-5370",
            "fax_number": "972-476-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "SUITE 401",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "972-612-5370",
            "fax_number": "972-476-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHOICE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-02-09",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "XINGKUI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-612-5370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012167",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing 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
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017952",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.