Provider Demographics
NPI:1508143603
Name:STARHOME HEALTHCARE
Entity Type:Organization
Organization Name:STARHOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIA
Authorized Official - Middle Name:ISATA
Authorized Official - Last Name:DABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-594-9004
Mailing Address - Street 1:1100 LOGGER CT BLDG H
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8525
Mailing Address - Country:US
Mailing Address - Phone:919-594-9004
Mailing Address - Fax:
Practice Address - Street 1:1100 LOGGER CT BLDG H
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8525
Practice Address - Country:US
Practice Address - Phone:919-594-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4472251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care