Provider Demographics
NPI:1518656487
Name:STAR CARE
Entity Type:Organization
Organization Name:STAR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:NEILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:662-374-3278
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:MS
Mailing Address - Zip Code:38917-0264
Mailing Address - Country:US
Mailing Address - Phone:662-374-3278
Mailing Address - Fax:
Practice Address - Street 1:204 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:MS
Practice Address - Zip Code:38917-6141
Practice Address - Country:US
Practice Address - Phone:662-374-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251X00000XAgenciesSupports Brokerage
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care