Provider Demographics
NPI:1285675769
Name:STAR HEARTS INC
Entity Type:Organization
Organization Name:STAR HEARTS INC
Other - Org Name:ANGEL HANDS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BREANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZAGHIPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-267-1800
Mailing Address - Street 1:1616 GATEWAY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3529
Mailing Address - Country:US
Mailing Address - Phone:214-267-1800
Mailing Address - Fax:214-260-0757
Practice Address - Street 1:1616 GATEWAY BLVD STE A
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3529
Practice Address - Country:US
Practice Address - Phone:214-267-1800
Practice Address - Fax:214-260-0757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001027304Medicaid
TX0244089Medicaid
TX459432Medicare ID - Type UnspecifiedHOME HEALTHCARE