Provider Demographics
NPI:1821634114
Name:STAR CARE NETWORK INC
Entity Type:Organization
Organization Name:STAR CARE NETWORK INC
Other - Org Name:SHULER HEALTH CARE/RECORD VILLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAYAD FUZAIL
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-225-8735
Mailing Address - Street 1:42220 SWEET CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4133
Mailing Address - Country:US
Mailing Address - Phone:571-225-8735
Mailing Address - Fax:
Practice Address - Street 1:250 PITTS ST
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2670
Practice Address - Country:US
Practice Address - Phone:336-996-4427
Practice Address - Fax:336-996-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home