STELLAR HEALTHCARE SERVICES, LLC (NPI# 1114255254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114255254 |
| Entity Type | Organization |
| Organization Name | STELLAR HEALTHCARE SERVICES, LLC |
| Practice Address |
2100 N Highway 360 Suite 1105 Grand Prairie TX 75050-1011 |
| Practice Telephone | 2144123528 |
| Mailing Telephone | 2144123428 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MS. LAURA J STELLAR (OWNER) |
| Authorized Official Telephone | 4699513950 |
| Authorized Official Credential | M.S. ADM. HUMAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 19779547 | TX | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STELLAR HEALTHCARE SERVICES, LLC | 2100 N State Highway 360 Ste 1105, Grand Prairie, TX 75050-1032 |
| Street Address |
2100 N HIGHWAY 360 SUITE 1105 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235282294 | Dickson Kutey | Durable Medical Equipment & Medical Supplies | 2100 N Highway 360, Suite 301, Grand Prairie, TX 75050-1009 | 2007-01-20 |
| 1366738320 | Shane Sullaway | Technician, Other | 2100 N Highway 360, Ste. 1802, Grand Prairie, TX 75050-1011 | 2011-06-28 |
| 1639460462 | Gary Rodgers | Technician, Other | 2100 N Highway 360, Suite 1802, Grand Prairie, TX 75050-1011 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301141 | Tanisha Edwards | Case Manager/Care Coordinator | 5943 Ridgeway Dr, Grand Prairie, TX 75052-0444 | 2020-06-22 |
| 1568094415 | Rachel Roberts | Case Manager/Care Coordinator | 2135 N Kirbywood Trl, Grand Prairie, TX 75052-7513 | 2020-02-09 |
| 1407301351 | Amazing Counselling and Rehab Services | Case Manager/Care Coordinator | 7268 Portillo, Grand Prairie, TX 75054-0073 | 2016-08-22 |
| 1235446220 | Tiffany Denise Brandon | Case Manager/Care Coordinator | 4951 Shady Oak Trl, Grand Prairie, TX 75052-4469 | 2010-09-11 |
| 1669694543 | Theresa Grant Beckwith | Case Manager/Care Coordinator | 4470 Sharpsburg Dr, Grand Prairie, TX 75052-1636 | 2007-05-02 |
| 1730302555 | Hannah O. Amaefula | Case Manager/Care Coordinator | 2416 Winford Drive, Grand Prairie, TX 75052 | 2007-04-10 |
| 1174670822 | Freeman Home Community Services | Case Manager/Care Coordinator | 2714 Colosseum Way, Grand Prairie, TX 75052-7021 | 2007-01-04 |
| 1710344635 | Demetria Wallace | Case Manager/Care Coordinator | 2635 Villa Di Lago Unit 4, Grand Prairie, TX 75054-6630 | 2016-01-22 |
| 1821319559 | Regina Chanelle Smith | Case Manager/Care Coordinator | 2846 Alcott Ln, Grand Prairie, TX 75052-8345 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911644 | Ramiro Meave Jr. | Case Manager/Care Coordinator | 6162 Misty Meadow Rd Apt 1102, Corpus Christi, TX 78414-2570 | 2020-10-31 |
| 1992305999 | Jonah Micah Reyes | Case Manager/Care Coordinator | 94 Briggs St Ste 450, San Antonio, TX 78224-1294 | 2020-10-28 |
| 1285233668 | Patricia A Griffith | Case Manager/Care Coordinator | 203 Brewer St, Navasota, TX 77868-3603 | 2020-10-18 |
| 1699380881 | Margarita Williams | Case Manager/Care Coordinator | 111 W Anderson Ln # D202-b, Austin, TX 78752-1132 | 2020-09-14 |
| 1497360945 | Chosen Care, Inc. | Case Manager/Care Coordinator | 144 Clemens Ave, New Braunfels, TX 78130-5613 | 2020-09-11 |
| 1306451828 | Dorneisia Tyson | Case Manager/Care Coordinator | 320 E Wintergreen Rd Apt 20h, Desoto, TX 75115-2473 | 2020-09-11 |
| 1548874332 | Alicia Pery | Case Manager/Care Coordinator | 5997 Shady Oaks Dr, Frisco, TX 75034-7228 | 2020-08-31 |
| 1265045694 | Dimide Inc. | Case Manager/Care Coordinator | 1928 Transcendence Dr, St Paul, TX 75098-0900 | 2020-08-25 |
| 1326658261 | Jasmine Capers | Case Manager/Care Coordinator | 5700 N Knoll Apt 201, San Antonio, TX 78240-2253 | 2020-08-05 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.