Healthcare Provider Details

I. General information

NPI: 1962643726
Provider Name (Legal Business Name): GRANDCARE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2009
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E PLANO PKWY STE 216
PLANO TX
75074-6764
US

IV. Provider business mailing address

801 E PLANO PKWY STE 216
PLANO TX
75074-6764
US

V. Phone/Fax

Practice location:
  • Phone: 469-779-6406
  • Fax: 469-333-8002
Mailing address:
  • Phone: 469-779-6406
  • Fax: 469-333-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN ZINK
Title or Position: PRESIDENT
Credential:
Phone: 214-235-8437