Provider Demographics
NPI:1851950083
Name:STARCARE, LLC
Entity Type:Organization
Organization Name:STARCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-390-8941
Mailing Address - Street 1:PO BOX 8162
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64508-8162
Mailing Address - Country:US
Mailing Address - Phone:816-390-8941
Mailing Address - Fax:816-279-7728
Practice Address - Street 1:1606 S 38TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2216
Practice Address - Country:US
Practice Address - Phone:816-390-8941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health