Provider Demographics
NPI:1083117824
Name:MORNING STAR CARE SERVICES
Entity Type:Organization
Organization Name:MORNING STAR CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:GILLUM
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:713-504-2213
Mailing Address - Street 1:4231 OAK SHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-5316
Mailing Address - Country:US
Mailing Address - Phone:713-504-2213
Mailing Address - Fax:
Practice Address - Street 1:4231 OAK SHADOWS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-5316
Practice Address - Country:US
Practice Address - Phone:713-504-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty