Provider Demographics
NPI:1639067622
Name:STARCARE OF TENNESSEE INC
Entity type:Organization
Organization Name:STARCARE OF TENNESSEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIDACUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONODINGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-885-3070
Mailing Address - Street 1:25 CENTURY BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3679
Mailing Address - Country:US
Mailing Address - Phone:615-885-3070
Mailing Address - Fax:615-885-3059
Practice Address - Street 1:2501 CHATHAM RD # 53892181
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4188
Practice Address - Country:US
Practice Address - Phone:312-442-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STARCARE OF TENNESSEE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities