Dedicated Home Health – Home Health Agency, NPI 1295713709
Home Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Dedicated Home Health
Pool Road, Grapevine, Tarrant County, Texas, 76034, United States
GRAPEVINE, TX 760514254
Phone: (706) 854-7428
Fax: (706) 228-6808
Type: Location
200, I 20, Augusta, Richmond County, Georgia, 30809:30907, United States
AUGUSTA, GA 309030200
Phone: (706) 303-5500
Fax: (706) 854-7382
Type: Mailing
208 GASLIGHT BLVD STE D
LUFKIN, TX 759043166
Phone: (936) 465-9181
Fax: (936) 465-9787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1015 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180329002042 | O | Home Health Agency | TX | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76051)
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