Provider Demographics
NPI:1811226707
Name:SILVER STAR HOME HEALTH, INC
Entity Type:Organization
Organization Name:SILVER STAR HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-522-6971
Mailing Address - Street 1:3171 LOS FELIZ BLVD STE 200F
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1536
Mailing Address - Country:US
Mailing Address - Phone:323-522-6971
Mailing Address - Fax:323-522-6972
Practice Address - Street 1:3171 LOS FELIZ BLVD STE 200F
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1536
Practice Address - Country:US
Practice Address - Phone:323-522-6971
Practice Address - Fax:323-522-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health