Excel Complete Home Health & Therapy Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCEL COMPLETE HOME HEALTH & THERAPY SERVICES LLC

Practice address

529 Gaslight Blvd
Lufkin, TX 75904-3127

Phone

(936) 634-1166

Fax

(936) 634-1562

NPI assigned

Nov 7, 2017

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Earl Dimaandal, PTNPI 1578029674

Title

Owner

Phone

(936) 634-1166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053824474. Details of each certification follow.

• CCN 677957 Home health agency · Active · Details

Home health agency certification: CCN 677957

Legal name

EXCEL COMPLETE HOME HEALTH & THERAPY SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 12, 2006

Last certification

Mar 10, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 1, 2017 in TX

Enrollment address

529 Gaslight Blvd
Lufkin, TX 75904-3127

Listed as

Excel Home HealthCCN 677957 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

May 12, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Earl Dimaandal, PT,DPT

  • Physical Therapist
  • Lufkin, TX
  • NPI 1578029674

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• KKS Services, LLC

  dba K&K Support Services

  • Home Health Agency
  • Lufkin, TX
  • NPI 1033276936

  Acquired from, 2017-12-17

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Dimaandal, PT,DPT

  • Physical Therapist
  • Lufkin, TX
  • NPI 1578029674
  NPD Authorized official

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Joshua Dewayne Allen, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1982904033

  Home health agency

  Care Compare affiliation
• Jose Miguel Carranza Chavez, MD

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1497107155

  Home health agency

  Care Compare affiliation
• James M Caskey, MD

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1558371880

  Home health agency

  Care Compare affiliation
• Mariyam Cherry, M.D.

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1750726550

  Home health agency

  Care Compare affiliation
• Michael H Huber, MD

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1235204918

  Home health agency

  Care Compare affiliation
• Joseph Alan Koch, MD

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1386970523

  Home health agency

  Care Compare affiliation
• Sean Moran, MD

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1093880742

  Home health agency

  Care Compare affiliation
• Richard E Roby Jr., MD

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1518073121

  Home health agency

  Care Compare affiliation
• Pablo Ernesto Splenser, MD

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1154523231

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1053824474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-634-1166",
            "fax_number": "936-634-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-634-1166",
            "fax_number": "936-634-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL COMPLETE HOME HEALTH & THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DIMAANDAL",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-1166",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alexander Evans, M. D.
• Tina Marie Evans
• Hunter Everett, PHARMD
• Christina Michelle Evett, NP-C
• Ewell Equipment Co
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• Valerie B Fajen, D.D.S., M.S.
• Family First Home Services LLC

• Home Health Agency in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.

Verify at the official NPI Registry.