St Charles Medical Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST CHARLES MEDICAL SERVICES, INC

Practice address

4143 Bluebonnet Dr
Stafford, TX 77477-3909

Phone

(713) 234-7233

Fax

(832) 532-3697

NPI assigned

Aug 31, 2006

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nonye Ozonoh

Title

RN,Don

Phone

(713) 234-7233

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 1376655001. Details of each certification follow.

• CCN 747312 Home health agency · Active · Details

Home health agency certification: CCN 747312

Legal name

ST CHARLES MEDICAL SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 3, 2009

Last certification

Oct 11, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 2, 2006 in TX

Enrollment address

4143 Bluebonnet Dr
Stafford, TX 77477-3909

Listed as

St Charles Medical Services IncCCN 747312 · All quality measures

Ownership

Proprietary

Certified

Dec 3, 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 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1376655001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 BLUEBONNET DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773909",
            "telephone_number": "713-234-7233",
            "fax_number": "832-532-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 BLUEBONNET DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773909",
            "telephone_number": "713-234-7233",
            "fax_number": "832-532-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "OZONOH",
        "authorized_official_first_name": "NONYE",
        "authorized_official_title_or_position": "RN,DON",
        "authorized_official_telephone_number": "713-234-7233"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Stafford, TX
• Providers in Stafford, 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 Oct 25, 2024; 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.