Provider Demographics
NPI:1114081502
Name:STAR TORCH HEALTHCARE INC.
Entity Type:Organization
Organization Name:STAR TORCH HEALTHCARE INC.
Other - Org Name:GOOD HANDS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-783-1888
Mailing Address - Street 1:6161 SAVOY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3308
Mailing Address - Country:US
Mailing Address - Phone:713-783-1888
Mailing Address - Fax:713-783-1899
Practice Address - Street 1:6161 SAVOY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3308
Practice Address - Country:US
Practice Address - Phone:713-783-1888
Practice Address - Fax:713-783-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014826251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453111Medicare ID - Type UnspecifiedHOME HEALTH AGENCY