5D HEALTHCARE SERVICES LLC — NPI 1750193520 (Licensed & Credentialed Custodial Care Facility, Adult Care Home in FORNEY, TX)

CMS-1500 Box 24J / 33a • NPI

1750193520

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

311ZA0620X

Licensed & Credentialed Custodial Care Facility, Adult Care Home

Box 32 Service Location & ZIP+4

1683 GRACEHILL WAY, FORNEY, TX, 75126-4281

✓ 9-Digit EDI 837 ZIP+4 (75126-4281)

Practice Phone & Referral Fax

(469) 881-6027

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750193520 (5D HEALTHCARE SERVICES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750193520` (NPI-2 Organization / Facility)
Provider / Legal Name	5D HEALTHCARE SERVICES LLC
Plain-English Specialty	Licensed & Credentialed Custodial Care Facility, Adult Care Home NUCC Code: `311ZA0620X` (Custodial Care Facility, Adult Care Home)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1683 GRACEHILL WAY, FORNEY, TX, 75126-4281
Practice Telephone / Fax	Tel: (469) 881-6027
Administrative Mailing Address	1683 GRACEHILL WAY, FORNEY, TX, 75126-4281
Enumeration & Last Sync	Enumerated: 2025-01-21 \| CMS Record Updated: 2025-01-21
Authorized Official	JOSHUA AZEEZ (Managing Partner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1683 GRACEHILL WAY, FORNEY, TX, 75126-4281

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Plain-English Taxonomy & CMS Crosswalk (311ZA0620X)

What Does Taxonomy Code 311ZA0620X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 311ZA0620X translates to:
"Licensed & Credentialed Custodial Care Facility, Adult Care Home"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Custodial Care Facility, Adult Care Home for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (5D HEALTHCARE SERVICES LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Secondary
`177F00000X` — Lodging Plain English: Licensed & Credentialed Lodging	State: N/A \| License: `Verified` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`332U00000X` — Home Delivered Meals Plain English: Licensed & Credentialed Home Delivered Meals	State: N/A \| License: `Verified` \| Primary: Secondary

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5D HEALTHCARE SERVICES LLC (NPI #1750193520)