Provider Demographics
NPI:1275626293
Name:STELLAR SERVICE, INC.
Entity Type:Organization
Organization Name:STELLAR SERVICE, INC.
Other - Org Name:SUPERIOR HOME CARE EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:VIJAYVERGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-995-4093
Mailing Address - Street 1:6690 E ROGERS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2619
Mailing Address - Country:US
Mailing Address - Phone:561-995-4093
Mailing Address - Fax:561-995-4094
Practice Address - Street 1:6690 E ROGERS CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2619
Practice Address - Country:US
Practice Address - Phone:561-995-4093
Practice Address - Fax:561-995-4094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1090332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIZY5157OtherBCBS OF MICHIGAN
FLR7215OtherBCBS OF FLORIDA
NYCU885OtherEMPIRE BC
FL0872250001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER