Xcel Healthcare Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

XCEL HEALTHCARE PROVIDERS, INC.

Practice address

1991 Lee Rd
Cleveland Heights, OH 44118-2571

Phone

(216) 426-9996

Fax

(216) 426-9802

NPI assigned

Mar 27, 2007

Last updated

May 18, 2016By 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

Mrs. Bobbie Jean Stanich

Title

Administrator

Phone

(216) 426-9996

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790803807. Details of each certification follow.

• CCN 368051 Home health agency · Active · Details

Home health agency certification: CCN 368051

Legal name

XCEL HEALTHCARE PROVIDERS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2004

Last certification

Feb 22, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 2, 2001 in OH

Enrollment address

1991 Lee Rd
Cleveland HGTS., OH 44118-2571

Listed as

Xcel Healthcare Providers, IncCCN 368051 · All quality measures

Ownership

Proprietary

Certified

Mar 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Tax ID family

Xcel Healthcare Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Xcel Healthcare Providers, Inc.

  • Home Health Agency
  • Cleveland Heights, OH
  • NPI 1174383368
  NPD tax ID

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1790803807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 LEE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182571",
            "telephone_number": "216-426-9996",
            "fax_number": "216-426-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 LEE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182571",
            "telephone_number": "216-426-9996",
            "fax_number": "216-426-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL HEALTHCARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "STANICH",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-426-9996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326101",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2469118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kikema K Workman
• Sherita Wren
• Charlotte Wright
• Wyn Resources LLC
• Xcel Healthcare Providers, Inc.
• Ilya Yaroslavsky
• Johnitta Yates
• Joan Maya Yokie, MAOM
• Freddie Young III
• Renetta Shavonne Young

• Home Health Agency in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.