Stellar Healthcare, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

DDH1574 Issued in AZ

Legal business name

STELLAR HEALTHCARE, INC.

Practice address

9362 E Sharon Dr
Scottsdale, AZ 85260-7426

Phone

(480) 634-4004

Fax

(480) 474-4243

NPI assigned

Aug 31, 2007

Last updated

Jul 30, 2010By 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

Kelvin D Smith

Title

Vice President

Phone

(480) 661-1164

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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.

• Kimberly Kay Smith, RN

  • Registered Nurse
  • Scottsdale, AZ
  • NPI 1083846646
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1245424225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 E DESERT TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604543",
            "telephone_number": "480-661-1164",
            "fax_number": "480-661-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 E SHARON DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607426",
            "telephone_number": "480-634-4004",
            "fax_number": "480-474-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-661-1164"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AZ",
            "license": "DDH1574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "152318",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Marie Steiner
• Shannon M Steinhilber, LAMFT
• Paul Terry Steinmetz, M.D.
• Matthew L Steinway, M.D.
• Stellar Healthcare Services LLC
• Stellar Physical Medicine, PLLC
• Deborah Stelzleni
• Stem Med Roth LLC (Stem Med)
• Jaime Marie Stempihar, PA-C
• Sarina Xinyuan Stenton, CRNP

• Pediatric Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.