Provider Demographics
NPI:1114321189
Name:STARGAZE SERVICES INC
Entity Type:Organization
Organization Name:STARGAZE SERVICES INC
Other - Org Name:INSPIRED CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:POONAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:847-787-7572
Mailing Address - Street 1:1600 GOLF RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4263
Mailing Address - Country:US
Mailing Address - Phone:847-787-7572
Mailing Address - Fax:847-720-9681
Practice Address - Street 1:1600 GOLF RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4263
Practice Address - Country:US
Practice Address - Phone:847-787-7572
Practice Address - Fax:847-720-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001043253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care