St Gregory Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011081 Issued in TX

Legal business name

ST GREGORY HEALTHCARE SERVICES, LLC

Practice address

3642 Yankee CT
Missouri City, TX 77459-4819

Phone

(281) 416-9899

Fax

(281) 416-9337

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Maria Luisa Wheeler

Title

Administrator

Phone

(281) 416-9899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747306

Legal name

ST GREGORY HEALTHCARE SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 28, 2010

Last certification

Aug 1, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

3642 Yankee CT
Missouri City, TX 77459-4819

Listed as

St Gregory Healthcare Services LLCCCN 747306

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 28, 2010

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

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1659402907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 YANKEE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594819",
            "telephone_number": "281-416-9899",
            "fax_number": "281-416-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 YANKEE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594819",
            "telephone_number": "281-416-9899",
            "fax_number": "281-416-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GREGORY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-416-9899"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.