Provider Demographics
NPI:1235305541
Name:DAYSTAR HOME CARE INC.
Entity Type:Organization
Organization Name:DAYSTAR HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-752-6109
Mailing Address - Street 1:1934 OLD GALLOWS RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-4042
Mailing Address - Country:US
Mailing Address - Phone:703-752-6109
Mailing Address - Fax:703-752-6201
Practice Address - Street 1:1934 OLD GALLOWS RD
Practice Address - Street 2:SUITE 350
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-4042
Practice Address - Country:US
Practice Address - Phone:703-752-6109
Practice Address - Fax:703-752-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11491251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health