Estan Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011090 Issued in TX

Legal business name

ESTAN HEALTHCARE SERVICES, INC.

Practice address

14119 Almond Bay LN
Houston, TX 77083-6346

Phone

(281) 498-8280

Fax

(281) 498-8993

NPI assigned

Mar 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stella K Ubi, REGISTERED NURSE

Title

Ceo

Phone

(281) 498-8280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346364130. Details of each certification follow.

• CCN 747012 Home health agency · Active · Details

Home health agency certification: CCN 747012

Legal name

ESTAN HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 18, 2008

Last certification

Oct 13, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2006 in TX

Enrollment address

10707 Corporate Drive
Suite 152
Stafford, TX 77477-4092

Listed as

Estan Healthcare Services IncCCN 747012 · All quality measures

Ownership

Proprietary

Certified

Nov 18, 2008

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 1

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

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1346364130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 ALMOND BAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836346",
            "telephone_number": "281-498-8280",
            "fax_number": "281-498-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 ALMOND BAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836346",
            "telephone_number": "281-498-8280",
            "fax_number": "281-498-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTAN HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "UBI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-498-8280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.