Provider Demographics
NPI:1558552109
Name:STARR HOME HEALTH
Entity Type:Organization
Organization Name:STARR HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-422-1067
Mailing Address - Street 1:13456 STATE ROUTE 68
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9234
Mailing Address - Country:US
Mailing Address - Phone:419-422-4067
Mailing Address - Fax:419-422-1218
Practice Address - Street 1:13456 STATE ROUTE 68
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9234
Practice Address - Country:US
Practice Address - Phone:419-422-4067
Practice Address - Fax:419-422-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2389133Medicaid