Provider Demographics
NPI:1609520451
Name:SOUTHERNSTARS HLTHCARE LLC
Entity Type:Organization
Organization Name:SOUTHERNSTARS HLTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-815-8373
Mailing Address - Street 1:237 BELFAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4868
Mailing Address - Country:US
Mailing Address - Phone:843-815-8373
Mailing Address - Fax:
Practice Address - Street 1:2 E BRYAN ST FL 4
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-2655
Practice Address - Country:US
Practice Address - Phone:843-815-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health