MEDICARE: CALVARY HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578647020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALVARY HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2840 KELLER SPRINGS RD STE 801
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4875
Country	:	US
Telephone Number	:	214-678-1950
Fax Number	:	214-678-1940

Provider Business Practice Location Address
First Line	:	2840 KELLER SPRINGS RD
Second Line	:	STE 801
City	:	CARROLLTON
State	:	TX
Zip	:	75006
Country	:	US
Telephone Number	:	214-678-1950
Fax Number	:	214-678-1940

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ARSEN USTAYEV
Credential	:
Telephone Number	:	267-226-8392

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/05/2026

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Directions to “CALVARY HEALTH CARE, INC. ” Practice Location

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