Provider Demographics
NPI:1659147395
Name:NORTHSTAR CARE GROUP LLC
Entity type:Organization
Organization Name:NORTHSTAR CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-515-0171
Mailing Address - Street 1:4800 EXPRESS DR # 19769
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-6354
Mailing Address - Country:US
Mailing Address - Phone:347-515-0171
Mailing Address - Fax:
Practice Address - Street 1:12700 WITHER STEELE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5002
Practice Address - Country:US
Practice Address - Phone:347-515-0171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty