Provider Demographics
NPI:1700380979
Name:CARE STAR HOME CARE LLC
Entity Type:Organization
Organization Name:CARE STAR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:DIRIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-806-4824
Mailing Address - Street 1:7373 BROOKCREST DR STE 330
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3442
Mailing Address - Country:US
Mailing Address - Phone:513-975-2020
Mailing Address - Fax:513-975-2020
Practice Address - Street 1:7373 BROOKCREST DR STE 330
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3442
Practice Address - Country:US
Practice Address - Phone:513-975-2020
Practice Address - Fax:513-975-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health