Active NPI
Healthy Choice Homecare, LLC
- Home Health Agency
- Plano, TX
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Home health agency
- Care Compare: Hospice
- Laboratory certificates & supplier records
- National Provider Directory
- Ownership & related parties
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Plano, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012167
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012167 | TX | Primary |
| Nursing Care Agency | 251J00000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001017952 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 14, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Care Compare: Hospice
Medicare Care Compare- Listed as
- Healthy Choice Homecare LLC
- Certified
- Jun 4, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1097422 | Healthy Choice Homecare,LLC | Certificate of waiver | Mar 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kurt Pan | 5% Or Greater Direct Ownership Interest | Apr 18, 2008 | |
| Corporate Director | Apr 18, 2008 | ||
| W-2 Managing Employee | May 16, 2008 | ||
| Operational/Managerial Control | Apr 18, 2008 | ||
| 5% Or Greater Direct Ownership Interest | Apr 18, 2008 | 51% | |
| W-2 Managing Employee | Jun 15, 2009 | 25% | |
| Xingxing Shi | W-2 Managing Employee | Dec 1, 2024 | |
| W-2 Managing Employee | Dec 1, 2024 | 15% | |
| Shanfeng Su | 5% Or Greater Direct Ownership Interest | Apr 18, 2008 | |
| Corporate Director | Apr 18, 2008 | ||
| W-2 Managing Employee | May 16, 2008 | ||
| Operational/Managerial Control | Apr 18, 2008 | ||
| 5% Or Greater Direct Ownership Interest | Apr 18, 2008 | 49% | |
| W-2 Managing Employee | Jun 15, 2009 | 25% | |
| Charlotte Pan | W-2 Managing Employee | Dec 1, 2024 | |
| Cindy Pan | W-2 Managing Employee | Dec 1, 2024 | 15% |
| Jack J. Ni | W-2 Managing Employee | 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.
-
- Contractor
- Plano, TX
- NPI 1710293956
-
- Home Health Registered Nurse
- Plano, TX
- NPI 1750106860
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
- Healthtexas Provider Network
- Healthtexas Provider Network
- Healthtexas Provider Network - Neurosurgical Associates LLP
- Healthtexas-Dallas Diagnostic Association
- Healthworks: a Family Wellness Center Associates
- Healthy Solutions
- Hearing Aid Express, Inc.
- Heart Institute of Texas PLLC
- Heartland Academy of Texas LLC
- Heartland Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; 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.