Healthcare Provider Details

I. General information

NPI: 1104858539
Provider Name (Legal Business Name): UNLIMITED GRACE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 GATEWAY DR STE 100
IRVING TX
75063-2744
US

IV. Provider business mailing address

2411 GATEWAY DR STE 100
IRVING TX
75063-2744
US

V. Phone/Fax

Practice location:
  • Phone: 214-277-8800
  • Fax: 214-277-8899
Mailing address:
  • Phone: 214-277-8800
  • Fax: 214-277-8899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009284
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN MAJOR
Title or Position: CEO & ADMINISTRATOR
Credential:
Phone: 214-277-8800