Provider Demographics
NPI:1497131312
Name:ESTARR GROUP LLC
Entity Type:Organization
Organization Name:ESTARR GROUP LLC
Other - Org Name:ADELE HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CIARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-536-4599
Mailing Address - Street 1:1410 HORTON DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1328
Mailing Address - Country:US
Mailing Address - Phone:214-536-4599
Mailing Address - Fax:
Practice Address - Street 1:1410 HORTON DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1328
Practice Address - Country:US
Practice Address - Phone:214-536-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health