Provider Demographics
NPI:1770182271
Name:STELLAR HOME HEALTH LLC
Entity Type:Organization
Organization Name:STELLAR HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-471-8385
Mailing Address - Street 1:7535 LITTLE RIVER TPKE STE 206A
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2991
Mailing Address - Country:US
Mailing Address - Phone:703-822-3590
Mailing Address - Fax:
Practice Address - Street 1:7535 LITTLE RIVER TPKE STE 206A
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2991
Practice Address - Country:US
Practice Address - Phone:703-822-3590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health