Organization Active NPI

Camillians Home Health Services LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1023398997
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAMILLIANS HOME HEALTH SERVICES LLC
Practice address
4635 Southwest Fwy Ste 645
Houston, TX 77027-7105
Phone
(832) 649-6092
Fax
(800) 658-0781
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Magdalena Tolles, RN
Title
Administrator/Ceo
Phone
(832) 649-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4635 Southwest Fwy Ste 645
Houston, TX 77027-7105

Mailing address

4635 Southwest Fwy Ste 645
Houston, TX 77027-7105
Phone (832) 649-6092

Other identifiers 1

IdentifierTypeStateIssuer
747820OtherTXPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000204 TX Part A Provider - Home Health Agency 0143486951 Practice locations: Houston, TX

Home health agency certification: CCN 747820

Legal name
CAMILLIANS HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 8, 2013
Last certification
Aug 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 4, 2011 in TX
Enrollment address
4635 Southwest Fwy
Ste 645
Houston, TX 77027-7105

Care Compare: Home health agency

Medicare Care Compare
Listed as
Camillians Home Health Services LLCCCN 747820
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 8, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D2043209Camillians Home Health Services LLC4635 Southwest Frwy Suite 645, Houston, TX 77027Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

5909 West Loop S
Ste 500
Bellaire, TX 77401

4635 Southwest Fwy
Ste 645
Houston, TX 77027
Phone (832) 317-7198

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Tolles Individual 5% Or Greater Direct Ownership Interest Aug 4, 2011 44%
Corporate Director Aug 24, 2011 44%
W-2 Managing Employee Aug 4, 2011
Magdalena Tolles Individual 5% Or Greater Direct Ownership Interest Aug 4, 2011 51%
Corporate Director Aug 4, 2011 51%
W-2 Managing Employee Aug 4, 2011 51%
Sean Gigremosa Individual 5% Or Greater Direct Ownership Interest Aug 4, 2011
Corporate Director Aug 4, 2012 10%
W-2 Managing Employee Aug 4, 2011 24%
Erlinda Digamon Individual 5% Or Greater Direct Ownership Interest Aug 4, 2011 2%
Corporate DirectorSecretary Aug 4, 2011 10%
W-2 Managing EmployeeSecretary/Director of Nursing Aug 4, 2011 25%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1023398997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 645",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277105",
            "telephone_number": "832-649-6092",
            "fax_number": "800-658-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 645",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277105",
            "telephone_number": "832-649-6092",
            "fax_number": "800-658-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLIANS HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "TOLLES",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "832-649-6092",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "747820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.