Active NPI
Steadfast Healthcare LLC
- Home Health Agency
- Houston, TX
National Provider Identifier
1205161312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STEADFAST HEALTHCARE LLC
- Practice address
- 13311 Arlon TRL
Houston, TX 77082-3475 - Phone
- (832) 641-9713
- Fax
- (281) 531-7645
- NPI assigned
- Oct 7, 2009
- Last updated
- Oct 7, 2009
- 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
- Regina Vese, RN
- Title
- Don/Administrator
- Phone
- (832) 641-9713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13311 Arlon TRL
Houston, TX 77082-3475
Mailing address
13311 Arlon TRL
Houston, TX 77082-3475
Phone (832) 641-9713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110218000220 | TX | Part A Provider - Home Health Agency | 1254512692 | Practice locations: Houston, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205161312. Details of each certification follow.
Home health agency certification: CCN 747715
- Legal name
- STEADFAST HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 13, 2012
- Last certification
- Dec 7, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Sep 28, 2009 in TX
- Enrollment address
- 13311 Arlon TRL
Houston, TX 77082-3475
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Steadfast Healthcare, LLC
- Ownership
- Proprietary
- Certified
- Mar 13, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology
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 |
|---|---|---|---|
| 45D2013833 | Steadfast Healthcare, LLC | Certificate of waiver | Sep 23, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Regina Vese | 5% Or Greater Direct Ownership Interest | Aug 10, 2010 | 100% |
| Corporate Director | Aug 10, 2010 | ||
| W-2 Managing Employee | Aug 10, 2010 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1205161312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13311 ARLON TRL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770823475",
"telephone_number": "832-641-9713",
"fax_number": "281-531-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13311 ARLON TRL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770823475",
"telephone_number": "832-641-9713",
"fax_number": "281-531-7645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEADFAST HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "VESE",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "DON/ADMINISTRATOR",
"authorized_official_telephone_number": "832-641-9713",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.