Provider Demographics
NPI:1164961140
Name:STAR HOME SERVICES
Entity Type:Organization
Organization Name:STAR HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NNAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUBAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-332-1621
Mailing Address - Street 1:1921 N POINTE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2688
Mailing Address - Country:US
Mailing Address - Phone:919-471-4444
Mailing Address - Fax:919-471-1515
Practice Address - Street 1:3007 DEARBORN DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2303
Practice Address - Country:US
Practice Address - Phone:919-797-1327
Practice Address - Fax:919-471-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home