NPIMap

Organization Active NPI

Home Care Elite, LLC

  • Home Health Agency
  • Nederland, TX
National Provider Identifier
1194826461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010296 Issued in TX
Legal business name
HOME CARE ELITE, LLC
Practice address
2300 Highway 365
Ste. 130
Nederland, TX 77627-6256
Phone
(409) 724-2533
Fax
(409) 726-2624
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tangee Renee' Mayes
Title
Billing
Phone
(409) 724-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010296 TX Primary

Addresses

Primary practice location

2300 Highway 365
Ste. 130
Nederland, TX 77627-6256

Mailing address

2300 Highway 365
Ste. 130
Nederland, TX 77627-6256
Phone (409) 724-2533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000102 TX Part A Provider - Home Health Agency 8426079575 Practice locations: Beaumont, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194826461. Details of each certification follow.

Home health agency certification: CCN 677964

Legal name
HOME CARE ELITE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2006
Last certification
Jul 22, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 29, 2004 in TX
Enrollment address
2955 Harrison St
Ste 201
Beaumont, TX 77702-1156

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Elite LLCCCN 677964 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 11, 2006
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
45D1048668Home Care Elite LLC2955 Harrison Street, Suite 201, Beaumont, TX 77702Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

2955 Harrison Ave
Ste 201
Beaumont, TX 77702
Phone (409) 724-2533

2300 Highway 365
Ste 130
Nederland, TX 77627
Phone (409) 724-2533

2300 Highway 365
Ste 630
Nederland, TX 77627
Phone (409) 724-2533

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Eddie Choate Individual 5% Or Greater Direct Ownership Interest Sep 29, 2004 50%
General Partnership Interest Sep 18, 2006
Corporate Director Sep 18, 2006
W-2 Managing Employee Sep 18, 2006
Emil Aran Individual 5% Or Greater Direct Ownership Interest Sep 24, 2004 50%
Limited Partnership InterestBoard Member Sep 29, 2004 50%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194826461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE. 130",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-724-2533",
            "fax_number": "409-726-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE. 130",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-724-2533",
            "fax_number": "409-726-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ELITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "TANGEE",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "409-724-2533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.