Provider Demographics
NPI:1558781385
Name:REDSTAR GROUP LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:REDSTAR GROUP LIMITED LIABILITY COMPANY
Other - Org Name:REDSTAR HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MONIS
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-644-9170
Mailing Address - Street 1:4517 CRYSTAL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3862
Mailing Address - Country:US
Mailing Address - Phone:972-644-9170
Mailing Address - Fax:
Practice Address - Street 1:4517 CRYSTAL MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3862
Practice Address - Country:US
Practice Address - Phone:972-644-9170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-19
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health