Provider Demographics
NPI:1467623546
Name:HELD STAR, INC.
Entity Type:Organization
Organization Name:HELD STAR, INC.
Other - Org Name:GRANDPA'S PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-910-7555
Mailing Address - Street 1:10213 NE 184TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9406
Mailing Address - Country:US
Mailing Address - Phone:360-666-3212
Mailing Address - Fax:360-666-3212
Practice Address - Street 1:10213 NE 184TH ST
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-9406
Practice Address - Country:US
Practice Address - Phone:360-666-3212
Practice Address - Fax:360-666-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA750066311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home