Provider Demographics
NPI:1275385031
Name:STARS RELIABLE CARE LLC
Entity Type:Organization
Organization Name:STARS RELIABLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER-CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-258-0100
Mailing Address - Street 1:615 S SAGINAW ST STE 2012
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-1505
Mailing Address - Country:US
Mailing Address - Phone:810-258-0100
Mailing Address - Fax:
Practice Address - Street 1:615 S SAGINAW ST STE 2012
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1505
Practice Address - Country:US
Practice Address - Phone:810-258-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health