Provider Demographics
NPI:1336032945
Name:DAYSTAR FAMILY CARE LLC
Entity type:Organization
Organization Name:DAYSTAR FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:OKOH
Authorized Official - Last Name:OKAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-628-7111
Mailing Address - Street 1:453 SMILEY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2217
Mailing Address - Country:US
Mailing Address - Phone:513-628-7111
Mailing Address - Fax:
Practice Address - Street 1:1102 W KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1764
Practice Address - Country:US
Practice Address - Phone:513-429-3289
Practice Address - Fax:513-928-7689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAYSTAR URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty