Organization Active NPI

Excellent Nursing Care P.C.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1023041266
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010070 Issued in TX
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

Updated by the provider on Oct 25, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010070OtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
May 19, 2005 in TX
Enrollment address
201 W Hillside Rd
Ste 9
Laredo, TX 78041-6905
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excellent Nursing Care, P.C.CCN 677941
Ownership
Proprietary
Certified
May 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1043990Excellent Nursing Care PC201 W Hillside Rd Suite 9, Laredo, TX 78041Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Excellent Nursing Care - Providers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Darlene Jimenez Individual Corporate OfficerAdmin Dec 19, 2016
Operational/Managerial ControlAdmin Dec 19, 2016
Roberto Camero Individual 5% Or Greater Direct Ownership Interest May 19, 2005 50%
General Partnership InterestPresident May 19, 2005
Corporate Officer May 19, 2005
Corporate Director May 19, 2005
W-2 Managing Employee May 19, 2005
April Trotter Individual 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

Verify at the official NPI Registry.