Provider Demographics
NPI:1477829646
Name:STAR HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:STAR HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTAWEA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:219-922-8700
Mailing Address - Street 1:PO BOX 3515
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-0515
Mailing Address - Country:US
Mailing Address - Phone:219-922-8700
Mailing Address - Fax:219-922-8701
Practice Address - Street 1:9515 INDIANAPOLIS BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2642
Practice Address - Country:US
Practice Address - Phone:219-922-8700
Practice Address - Fax:219-922-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-31
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health