Provider Demographics
NPI:1235529165
Name:TEXAS STAR CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:TEXAS STAR CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:JOHANA
Authorized Official - Last Name:TANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-585-3314
Mailing Address - Street 1:2105 W. 3 MILE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-2105
Mailing Address - Country:US
Mailing Address - Phone:956-585-3314
Mailing Address - Fax:956-585-3316
Practice Address - Street 1:2105 W. 3 MILE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-2105
Practice Address - Country:US
Practice Address - Phone:956-585-3314
Practice Address - Fax:956-585-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health