Provider Demographics
NPI:1689621369
Name:NEW STAR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:NEW STAR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHABANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-658-6149
Mailing Address - Street 1:24350 JOY RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1200
Mailing Address - Country:US
Mailing Address - Phone:734-658-6149
Mailing Address - Fax:734-574-6465
Practice Address - Street 1:17687 LIBERTY LN
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7578
Practice Address - Country:US
Practice Address - Phone:734-658-6149
Practice Address - Fax:734-574-6465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization