Active NPI
Excellent Nursing Care P.C.
- Home Health Agency
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010070
- Legal business name
- EXCELLENT NURSING CARE P.C.
- Practice address
- 8514 Crown Woods Dr
802 Galveston Suite C
Laredo, TX 78045-2085 - Phone
- (956) 645-3537
- Fax
- (956) 723-9833
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Camero, RN
- Title
- President
- Phone
- (956) 645-3537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010070 | TX | Primary |
Addresses
Primary practice location
8514 Crown Woods Dr
802 Galveston Suite C
Laredo, TX 78045-2085
Mailing address
8514 Crown Woods Dr
802 Galveston Suite C
Laredo, TX 78045-2085
Phone (956) 645-3537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010070 | Other | TX | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051026000666 | TX | Part A Provider - Home Health Agency | 1254358559 | Practice locations: Laredo, TX |
Home health agency certification: CCN 677941
- Legal name
- EXCELLENT NURSING CARE P.C.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 11, 2006
- Last certification
- Jul 15, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 19, 2005 in TX
- Enrollment address
- 201 W Hillside Rd
Ste 9
Laredo, TX 78041-6905
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Excellent Nursing Care, P.C.
- Ownership
- Proprietary
- Certified
- May 11, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1043990 | Excellent Nursing Care PC | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Excellent Nursing Care - Providers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Laredo, TX
- NPI 1114106226
Locations
201 W Hillside Rd
Ste 9
Laredo, TX 78041
Phone (986) 725-2786
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Darlene Jimenez | Corporate Officer | Dec 19, 2016 | |
| Operational/Managerial Control | Dec 19, 2016 | ||
| Roberto Camero | 5% Or Greater Direct Ownership Interest | May 19, 2005 | 50% |
| General Partnership Interest | May 19, 2005 | ||
| Corporate Officer | May 19, 2005 | ||
| Corporate Director | May 19, 2005 | ||
| W-2 Managing Employee | May 19, 2005 | ||
| April Trotter | 5% Or Greater Direct Ownership Interest | Nov 17, 2017 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1023041266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 CROWN WOODS DR",
"address_2": "802 GALVESTON SUITE C",
"city": "LAREDO",
"state": "TX",
"postal_code": "780452085",
"telephone_number": "956-645-3537",
"fax_number": "956-723-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 CROWN WOODS DR",
"address_2": "802 GALVESTON SUITE C",
"city": "LAREDO",
"state": "TX",
"postal_code": "780452085",
"telephone_number": "956-645-3537",
"fax_number": "956-723-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT NURSING CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "CAMERO",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-645-3537",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "010070",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.