Provider Demographics
NPI:1497512941
Name:BLUESTAR SERVICE SOLUTIONS
Entity Type:Organization
Organization Name:BLUESTAR SERVICE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:SWEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-441-0730
Mailing Address - Street 1:7654 STANDISH PL
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2701
Mailing Address - Country:US
Mailing Address - Phone:800-441-0730
Mailing Address - Fax:
Practice Address - Street 1:7654 STANDISH PL
Practice Address - Street 2:
Practice Address - City:DERWOOD
Practice Address - State:MD
Practice Address - Zip Code:20855-2701
Practice Address - Country:US
Practice Address - Phone:800-441-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health