Provider Demographics
NPI:1073879045
Name:STAR HOME HEALTH INC
Entity Type:Organization
Organization Name:STAR HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:YASIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-922-7800
Mailing Address - Street 1:9515 INDIANAPOLIS BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2642
Mailing Address - Country:US
Mailing Address - Phone:219-922-7800
Mailing Address - Fax:219-237-9019
Practice Address - Street 1:9515 INDIANAPOLIS BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2642
Practice Address - Country:US
Practice Address - Phone:219-922-7800
Practice Address - Fax:219-922-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12-012801-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health