Provider Demographics
NPI:1740607035
Name:HEALTH STAR HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:HEALTH STAR HOME HEALTH CARE LLC
Other - Org Name:HEALTH STAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPHONSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-402-2902
Mailing Address - Street 1:2148 CHASEFORD LN
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5637
Mailing Address - Country:US
Mailing Address - Phone:404-402-2902
Mailing Address - Fax:678-224-5312
Practice Address - Street 1:2148 CHASEFORD LN
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127
Practice Address - Country:US
Practice Address - Phone:404-402-2902
Practice Address - Fax:678-224-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health