Provider Demographics
NPI:1407978174
Name:NORTH STAR SERVICES, INC.
Entity Type:Organization
Organization Name:NORTH STAR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-946-3657
Mailing Address - Street 1:125 LAKEMONT PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-5943
Mailing Address - Country:US
Mailing Address - Phone:814-946-3657
Mailing Address - Fax:814-946-4032
Practice Address - Street 1:125 LAKEMONT PARK BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5943
Practice Address - Country:US
Practice Address - Phone:814-946-3657
Practice Address - Fax:814-946-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100777437 0004OtherPROVIDER NUMBER
PA100777437 0001OtherPROVIDER NUMBER