Provider Demographics
NPI:1417329830
Name:HEALTHSTAR AMERICA HOSPICE CARE
Entity Type:Organization
Organization Name:HEALTHSTAR AMERICA HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CASHMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD/PHD
Authorized Official - Phone:925-776-5740
Mailing Address - Street 1:PO BOX 3144
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-3144
Mailing Address - Country:US
Mailing Address - Phone:925-759-2436
Mailing Address - Fax:
Practice Address - Street 1:5065 DEER VALLEY RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8311
Practice Address - Country:US
Practice Address - Phone:925-278-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHSTAR AMERICA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-25
Last Update Date:2015-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based