Provider Demographics
NPI:1477099794
Name:NORTH STAR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:NORTH STAR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:214-275-4667
Mailing Address - Street 1:10830 N CENTRAL EXPY STE 315
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2175
Mailing Address - Country:US
Mailing Address - Phone:214-275-4667
Mailing Address - Fax:855-631-4080
Practice Address - Street 1:10830 N CENTRAL EXPY STE 315
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2175
Practice Address - Country:US
Practice Address - Phone:214-275-4667
Practice Address - Fax:855-631-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018424Medicaid