Active NPI
Stellar Home Health LLC
- Home Health Agency
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Jean Urbanek
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 24, 2019
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Agpoon | 5% Or Greater Direct Ownership Interest | Jun 8, 2020 | 100% |
| Corporate Officer | Sep 15, 2016 | ||
| Corporate Director | Sep 15, 2016 | ||
| Operational/Managerial Control | 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.
-
- Physical Therapy Assistant
- Wichita, KS
- NPI 1801122254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.