Provider Demographics
NPI:1881015535
Name:STAR ONE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:STAR ONE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MONROE
Authorized Official - Middle Name:ROOSEVELT
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MDIV
Authorized Official - Phone:302-424-7637
Mailing Address - Street 1:610 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-2332
Mailing Address - Country:US
Mailing Address - Phone:302-265-5009
Mailing Address - Fax:410-548-2896
Practice Address - Street 1:610 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-2332
Practice Address - Country:US
Practice Address - Phone:302-265-5009
Practice Address - Fax:410-548-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-25
Last Update Date:2013-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE134764009251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health