S.T.C. Medicus Enterprises, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

S.T.C. MEDICUS ENTERPRISES, LLC.

Practice address

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159

Phone

(409) 291-8880

Fax

(409) 291-8829

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Saul Avila, C.R.T

Title

President

Phone

(409) 291-8880

Specialties & licenses 1

Addresses

Other names 1

• SETXHomecare Doing business as

Tax ID family

Momentum Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S.T.C. Medicus Enterprises, LLC

  • Home Health Agency
  • Beaumont, TX
  • NPI 1659611952
  NPD tax ID

Locations

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1326438003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-291-8880",
            "fax_number": "409-291-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-291-8880",
            "fax_number": "409-291-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.C. MEDICUS ENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-291-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.T"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SETXHomecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SETXHomecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Ryals
• Jewel Ryan
• Mary Elizabeth Ryan, PA
• S E Texas Pain Management PLLC
• S.T.C. Medicus Enterprises, LLC
• Muhammad Saad, MBBS
• Sadia Saad
• Derek Alexander Sachitano, PHARMD
• Steven Micheal Sacks, MD
• Sadiq Ali, M.D., PLLC

• Home Health Agency in Beaumont, TX
• Providers in Beaumont, 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 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.