Provider Demographics
NPI:1477141364
Name:STELLAR ENTERPRISES LLC
Entity Type:Organization
Organization Name:STELLAR ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SANSHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-736-7515
Mailing Address - Street 1:700 KEN MAR INDUSTRIAL PARKWAY 710
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:MA
Mailing Address - Zip Code:44147
Mailing Address - Country:US
Mailing Address - Phone:440-736-7515
Mailing Address - Fax:440-290-4042
Practice Address - Street 1:700 KEN MAR INDUSTRIAL PARKWAY 710
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:MA
Practice Address - Zip Code:44147
Practice Address - Country:US
Practice Address - Phone:440-736-7515
Practice Address - Fax:440-290-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health