Provider Demographics
NPI:1275949216
Name:GLOWING STARS INC
Entity Type:Organization
Organization Name:GLOWING STARS INC
Other - Org Name:COMFORCARE SENIOR SERVICES - FAIRFAX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:HABTE
Authorized Official - Last Name:CHERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-865-7579
Mailing Address - Street 1:7708 HAYNES POINT WAY UNIT M
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-6094
Mailing Address - Country:US
Mailing Address - Phone:703-865-7579
Mailing Address - Fax:
Practice Address - Street 1:4031 UNIVERSITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3409
Practice Address - Country:US
Practice Address - Phone:703-865-7579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care