Provider Demographics
NPI:1215386602
Name:STAR HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:STAR HOME HEALTH CARE SERVICES
Other - Org Name:STAR HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:AKENGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-702-0469
Mailing Address - Street 1:25 BOULDER HILLS BLVD SUITE A
Mailing Address - Street 2:
Mailing Address - City:WANTAGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07461
Mailing Address - Country:US
Mailing Address - Phone:973-702-0469
Mailing Address - Fax:
Practice Address - Street 1:25 BOULDER HILLS BOULEVARD
Practice Address - Street 2:SUITE A
Practice Address - City:WANTAGE
Practice Address - State:NJ
Practice Address - Zip Code:07461
Practice Address - Country:US
Practice Address - Phone:973-702-0469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care