Provider Demographics
NPI:1568886042
Name:NORTH STAR HEALTHCARE, INC
Entity Type:Organization
Organization Name:NORTH STAR HEALTHCARE, INC
Other - Org Name:NORTH STAR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELS
Authorized Official - Middle Name:
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-244-0783
Mailing Address - Street 1:667 BREA CANYON RD
Mailing Address - Street 2:STE 27
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3011
Mailing Address - Country:US
Mailing Address - Phone:909-348-5500
Mailing Address - Fax:909-494-4089
Practice Address - Street 1:667 BREA CANYON RD
Practice Address - Street 2:STE 27
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-3011
Practice Address - Country:US
Practice Address - Phone:909-348-5500
Practice Address - Fax:909-494-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based