Provider Demographics
NPI:1730458860
Name:DEYSTAR ADULT CARE SERVICES INC
Entity Type:Organization
Organization Name:DEYSTAR ADULT CARE SERVICES INC
Other - Org Name:DEYSTAR HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:N
Authorized Official - Last Name:OBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-682-9530
Mailing Address - Street 1:5626 GINGER RISE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5673
Mailing Address - Country:US
Mailing Address - Phone:210-682-9530
Mailing Address - Fax:
Practice Address - Street 1:5626 GINGER RISE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5673
Practice Address - Country:US
Practice Address - Phone:210-682-9530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health