Provider Demographics
NPI:1346786993
Name:OHIO STAR HOME HEALTHCARE
Entity Type:Organization
Organization Name:OHIO STAR HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZGHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-817-1572
Mailing Address - Street 1:1601 BETHEL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2000
Mailing Address - Country:US
Mailing Address - Phone:614-817-1572
Mailing Address - Fax:614-817-1573
Practice Address - Street 1:1601 BETHEL RD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2000
Practice Address - Country:US
Practice Address - Phone:614-817-1572
Practice Address - Fax:614-817-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3931981251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health