Organization Active NPI

Stellar Service, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1275626293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1090 Issued in FL
Legal business name
STELLAR SERVICE, INC.
Practice address
6690 E Rogers Cir
Boca Raton, FL 33487-2619
Phone
(561) 995-4093
Fax
(561) 995-4094
NPI assigned
Oct 2, 2006
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
Mr. Ashok Vijayvergia
Title
President
Phone
(561) 995-4093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1090 FL Primary

Addresses

Primary practice location

6690 E Rogers Cir
Boca Raton, FL 33487-2619

Mailing address

6690 E Rogers Cir
Boca Raton, FL 33487-2619
Phone (561) 995-4093

Other identifiers 3

IdentifierTypeStateIssuer
ZY5157OtherMIBCBS OF MICHIGAN
R7215OtherFLBCBS OF FLORIDA
CU885OtherNYEMPIRE BC

Other names 1

  • Superior Home Care Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027830 FL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4183744949 Practice locations: Boca Raton, FL

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Stellar Service, Inc.6690E Rogers Cir, Boca Raton, FL 33487-2619(561) 995-4093 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ne… Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

6690 E Rogers Cir
Boca Raton, FL 33487
Phone (561) 995-4093

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275626293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 E ROGERS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872619",
            "telephone_number": "561-995-4093",
            "fax_number": "561-995-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 E ROGERS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872619",
            "telephone_number": "561-995-4093",
            "fax_number": "561-995-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIJAYVERGIA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-995-4093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "ZY5157",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "R7215",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "CU885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Home Care Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.