PRINCEWILL HEALTHCARE SERVICES INC
NPI 1386883064
Home Health in Carrollton, TX

Active since February 19, 2009CLIA 45D1104106 · Waiver
4100 MEDICAL PKWY STE 250, CARROLLTON, TX 75007(972) 727-0784(972) 727-0792 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Sep 16, 2020, Oct 3, 2019 (3 updates tracked since 2019).

About Princewill Healthcare Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCEWILL HEALTHCARE SERVICES INC (NPI 1386883064) is a healthcare organization registered as a home health in Carrollton, Texas and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Shelby Mathew, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386883064
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRINCEWILL HEALTHCARE SERVICES INC
Location Address4100 MEDICAL PKWY STE 250Carrollton, TX 75007-1538
Mailing Address4100 Medical Pkwy Ste 250Carrollton, TX 75007-1538 · (972) 727-0784 · Fax (972) 727-0792
Fax(972) 727-0792
Organization SubpartNo
Authorized OfficialShelby MathewAdministrator · (214) 886-8631
Enumeration DateFebruary 19, 2009
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1386883064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
4100 MEDICAL PKWY STE 250, Carrollton, TX 75007

Other Identifiers 3

Medicaid251E00000XTX
Medicaid282425201TX
Medicaid3747P1801XTX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1104106

Princewill Healthcare Services,inc · Carrollton, TX
Active · expires Aug 24, 2027
CLIA Number45D1104106
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorShelby Mathew
Laboratory Phone(972) 727-0784
Laboratory LocationPrincewill Healthcare Services,inc4100 Medical Pkwy Ste 250, Carrollton, TX 75007
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Princewill Healthcare Services Inc (CMS certification number 747490), from CMS Care Compare.

Princewill Healthcare Services Inc

Home health agency · Carrollton, TX
OwnershipProprietary
CMS Certification Number747490
Medicare-Certified SinceNovember 21, 2010
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Princewill Healthcare Services Inc's NPI number?

The NPI number for Princewill Healthcare Services Inc is 1386883064. It was assigned to this organization in the NPPES registry on February 19, 2009.

Where is Princewill Healthcare Services Inc located?

Princewill Healthcare Services Inc is located at 4100 Medical Pkwy Ste 250, Carrollton, TX 75007. The listed phone number is (972) 727-0784.

What is Princewill Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Princewill Healthcare Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1104106) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Princewill Healthcare Services Inc a Medicare-certified home health agency?

Yes. Princewill Healthcare Services Inc is a Medicare-certified home health agency, certified since November 21, 2010.

When was this NPI record last updated?

The NPPES record for Princewill Healthcare Services Inc was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.