Provider Demographics
NPI:1598537961
Name:THREE STAR HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:THREE STAR HOME HEALTH AGENCY INC.
Other - Org Name:THREE STAR HOME HEALTH INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT. OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:OLUCHI
Authorized Official - Last Name:OGBONNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-339-0452
Mailing Address - Street 1:407 N CEDAR RIDGE DR STE 325
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3170
Mailing Address - Country:US
Mailing Address - Phone:214-339-5042
Mailing Address - Fax:
Practice Address - Street 1:407 N CEDAR RIDGE DR STE 325
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3170
Practice Address - Country:US
Practice Address - Phone:214-339-5042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric