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HIS GRACE HOME HEALTH CARE LLC NPI 1215216742


NPI Information

NPI: 1215216742
Provider Name: HIS GRACE HOME HEALTH CARE LLC
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D2043281

Address:
9013 FRIENDSWOOD DR
FORT WORTH, TX
ZIP 76123
Phone: (817) 443-7023
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HIS GRACE HOME HEALTH CARE LLC is a home health in Fort Worth, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HIS GRACE HOME HEALTH CARE LLC NPI is 1215216742. The provider is registered as an organization entity type.

The provider's business location address is:

9013 FRIENDSWOOD DR
FORT WORTH, TX
ZIP 76123-723
Phone: (817) 443-7023

The provider's authorized official is Rogelio Galinsuga .
The authorized official title is Owner and has the following contact phone number (817) 443-7023.

The CLIA number assigned to this NPI record is 45D2043281 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 9/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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