Provider Demographics
NPI:1407097652
Name:MORNING STAR HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:MORNING STAR HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBASSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-360-3250
Mailing Address - Street 1:205 SMITHTOWN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1872
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 SMITHTOWN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1872
Practice Address - Country:US
Practice Address - Phone:631-360-3250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7034L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health