Provider Demographics
NPI:1629202130
Name:WHITESTAR HOME HEALTH INC
Entity Type:Organization
Organization Name:WHITESTAR HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NACI
Authorized Official - Middle Name:
Authorized Official - Last Name:AKYILDIZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:217-433-2020
Mailing Address - Street 1:535 W ELDORADO ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62522-2117
Mailing Address - Country:US
Mailing Address - Phone:217-462-0355
Mailing Address - Fax:217-462-0356
Practice Address - Street 1:535 W ELDORADO ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62522-2117
Practice Address - Country:US
Practice Address - Phone:217-462-0355
Practice Address - Fax:217-462-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1926456251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health