Provider Demographics
NPI:1376093211
Name:STELLAR HOME HEALTH LLC
Entity Type:Organization
Organization Name:STELLAR HOME HEALTH LLC
Other - Org Name:STELLAR HOME CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ ASSIST. ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:URBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-708-6318
Mailing Address - Street 1:2525 W 13TH ST NORTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-708-6318
Mailing Address - Fax:316-636-7760
Practice Address - Street 1:2525 W 13TH ST NORTH
Practice Address - Street 2:SUITE 300
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-708-6318
Practice Address - Fax:316-636-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health