St Clare Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST CLARE HOME CARE INC

Practice address

11111 Richmond Ave Ste 103
Houston, TX 77082-6665

Phone

(713) 572-4663

Fax

(713) 572-4653

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Maria Minda R Sagullo

Title

Ceo/Cfo

Phone

(713) 572-4663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747170

Legal name

ST CLARE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 16, 2009

Last certification

Apr 11, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 29, 2011 in TX

Enrollment address

11111 Richmond Ave
Ste 103
Houston, TX 77082-6665

Listed as

St Clare Home Care, Inc.CCN 747170

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Apr 16, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Carmen Chen

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1023671427

  Home health agency

  Care Compare affiliation
• Poyani Desai, M.D.

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1902285141

  Home health agency

  Care Compare affiliation
• Ranganath Kandala, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
  • NPI 1912101585

  Home health agency

  Care Compare affiliation
• Quyen Trinh, DO

  • Family Medicine Physician
  • Katy, TX
  • NPI 1033205224

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1306117890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 RICHMOND AVE STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826665",
            "telephone_number": "713-572-4663",
            "fax_number": "713-572-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RICHMOND AVE STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826665",
            "telephone_number": "713-572-4663",
            "fax_number": "713-572-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "SAGULLO",
        "authorized_official_first_name": "MARIA MINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "713-572-4663"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• St Dominic EMS Inc
• Joshua Armand St Fleur, RN

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.

Verify at the official NPI Registry.