Provider Demographics
NPI:1164728002
Name:NORTHSTAR R.E.S.
Entity Type:Organization
Organization Name:NORTHSTAR R.E.S.
Other - Org Name:QUEST FOR CLOTHES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/BROKER
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-218-5522
Mailing Address - Street 1:4732 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3142
Mailing Address - Country:US
Mailing Address - Phone:614-850-8850
Mailing Address - Fax:
Practice Address - Street 1:4732 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3142
Practice Address - Country:US
Practice Address - Phone:614-850-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care