Organization Active NPI

Steadfast Healthcare LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1205161312
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 747715 · All quality measures
Ownership
Proprietary
Certified
Mar 13, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology

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
45D2013833Steadfast Healthcare, LLC13311 Arlon Trail, Houston, TX 77082Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Regina Vese Individual 5% Or Greater Direct Ownership InterestDon/Cfo 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

Verify at the official NPI Registry.