Organization Active NPI

Stellar Home Health LLC

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1376093211
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STELLAR HOME HEALTH LLC
Practice address
2525 W 13TH St North
Suite 300
Wichita, KS 67203
Phone
(316) 708-6318
Fax
(316) 636-7760
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Connie Jean UrbanekNPI 1801122254
Title
Owner/ Assist. Admin
Phone
(316) 708-6318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2525 W 13TH St North
Suite 300
Wichita, KS 67203

Mailing address

2525 W 13TH St North
Suite 300
Wichita, KS 67203
Phone (316) 708-6318

Other names 1

  • Stellar Home Care LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180321000182 KS Part A Provider - Home Health Agency 0648532101 Practice locations: Wichita, KS

Home health agency certification: CCN 178120

Legal name
STELLAR HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 24, 2019
Last certification
Apr 24, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 15, 2016 in KS
Enrollment address
2525 W 13TH St N
Ste 300
Wichita, KS 67203-1803

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stellar Home Health, LLCCCN 178120 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 24, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2525 W 13th St N
Ste 300
Wichita, KS 67203
Phone (316) 708-6318

Ownership & related parties

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.

NameRoleSinceShare
Michael Agpoon Individual 5% Or Greater Direct Ownership Interest Jun 8, 2020 100%
Corporate OfficerPresident Sep 15, 2016
Corporate DirectorBoard Member Sep 15, 2016
Operational/Managerial ControlAdministrator Jun 8, 2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1376093211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W 13TH ST NORTH",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-708-6318",
            "fax_number": "316-636-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W 13TH ST NORTH",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-708-6318",
            "fax_number": "316-636-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "URBANEK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/ ASSIST. ADMIN",
        "authorized_official_telephone_number": "316-708-6318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.