Care of Excellence Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE OF EXCELLENCE HOME HEALTH, LLC

Doing business as

Care of Excellence Home Health

Practice address

751 US Highway 287 North
Suite 104
Mansfield, TX 76063

Phone

(817) 842-4263

Fax

(817) 842-4264

NPI assigned

Dec 26, 2006

Last updated

Mar 2, 2017By 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

Ms. Melinda S Conn, R.N., B.S.N.

Title

Owner, Administrator, Don

Phone

(817) 842-4263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care of Excellence Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487719001. Details of each certification follow.

• CCN 679654 Home health agency · Active · Details

Home health agency certification: CCN 679654

Legal name

CARE OF EXCELLENCE HOME HEALTH, LLC

Doing business as

CARE OF EXCELLENCE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 20, 2007

Last certification

Mar 28, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

751 US Highway 287 North
Suite 104
Mansfield, TX 76063

Listed as

Care of Excellence Home HealthCCN 679654 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Aug 20, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology

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.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mary Anne Sapna Chacko, M.D., PHD

  • Internal Medicine Physician
  • Mansfield, TX
  • NPI 1932456605

  Home health agency

  Care Compare affiliation
• Nancy Georgekutty, M.D.

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1578735106

  Home health agency

  Care Compare affiliation
• Amy Renee Lewis, R.N., AGPCNP-BC

  • Nurse Practitioner
  • Mansfield, TX
  • NPI 1164793246

  Home health agency

  Care Compare affiliation
• Thomas J Purgason, MD

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1831161637

  Home health agency

  Care Compare affiliation
• Ganana Tesfa, M.D.

  • Specialist
  • Mansfield, TX
  • NPI 1891844577

  Home health agency

  Care Compare affiliation
• John Ira Thurmond, MD.

  • Internal Medicine Physician
  • Mansfield, TX
  • NPI 1033151014

  Home health agency

  Care Compare affiliation
• Stephanie Megan Tipton, DO

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1518224898

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1487719001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 US HIGHWAY 287 NORTH",
            "address_2": "SUITE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-842-4263",
            "fax_number": "817-842-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 US HIGHWAY 287 NORTH",
            "address_2": "SUITE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-842-4263",
            "fax_number": "817-842-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OF EXCELLENCE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR, DON",
        "authorized_official_telephone_number": "817-842-4263",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., B.S.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "67-9654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care of Excellence Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Canas, RN
• Ieshia Cannon
• Alejandra Carbajal Barajas
• Cardiology Partners, LLP
• Care From the Heart Home Health, LLC
• Careatc
• Carefirst LLC
• Careparth Healthcare System LLP (Carepath HomeHealth Network)
• Carestar Hospice of Texas LLC (CareStar Hospice)
• Carestep LLC

• Home Health Agency in Mansfield, TX
• Providers in Mansfield, 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, 2017; 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.