Faustine Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

535HHA-10 Issued in NV

Legal business name

FAUSTINE HOME HEALTH AGENCY INC

Doing business as

Excell Home Health Services

Practice address

3690 S Eastern Ave
Suite 202
Las Vegas, NV 89169-3300

Phone

(702) 792-5112

Fax

(702) 792-5114

NPI assigned

May 28, 2006

Last updated

Jul 23, 2009By 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

Gladys F Beltran, RN

Title

Administrator

Phone

(702) 792-5112

Specialties & licenses 1

Addresses

Other names 1

• Excell Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780631366. Details of each certification follow.

• CCN 297091 Home health agency · Active · Details

Home health agency certification: CCN 297091

Legal name

FAUSTINE HOME HEALTH AGENCY INC

Doing business as

EXCELL HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 12, 1999

Last certification

Jan 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 1, 1997 in NV

Enrollment address

6270 McLeod Dr 100
Las Vegas, NV 89120-4446
HHA Branch

Listed as

Excell Home Health ServicesCCN 297091 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Aug 12, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gladys Gongora Frondarina-Beltran, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1922526474

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gladys Gongora Frondarina-Beltran, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1922526474
  NPD

Affiliated clinicians 6

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

• Neda Quilantang Ballard, ADV PRACTITIONER

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1174967400

  Home health agency

  Care Compare affiliation
• Janis Bitor

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1093411548

  Home health agency

  Care Compare affiliation
• Gus Erik Del Rosario, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1902550296

  Home health agency

  Care Compare affiliation
• Oscar Almerante Del Rosario, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1730428848

  Home health agency

  Care Compare affiliation
• Tasheka Conella Powell, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1669140711

  Home health agency

  Care Compare affiliation
• Nenita T Roxas, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1396367900

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1780631366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 S EASTERN AVE",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693300",
            "telephone_number": "702-792-5112",
            "fax_number": "702-792-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 S EASTERN AVE",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693300",
            "telephone_number": "702-792-5112",
            "fax_number": "702-792-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTINE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-792-5112",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "535HHA-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excell Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay'Loni Faulkner
• Thomas Faulkner
• James Albert Fausett, D.P.M.
• Suzanne Faust, PH.D.
• Suzy L Faust, MMT
• Antonio Faustino
• Fauzia Carullo MD Prof Corp (Las Vegas Vein Center)
• Fauzia Carullo MD Prof Corp (Las Vegas Internal Medicine)
• Lori Fava
• Johanna Favela Chaidez

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.