Provider Demographics
NPI:1891051371
Name:STELLAR HOME CARE,LLC
Entity Type:Organization
Organization Name:STELLAR HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:RYANA
Authorized Official - Last Name:DELIMINI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:203-520-4793
Mailing Address - Street 1:47 EDGEWOOD AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2625
Mailing Address - Country:US
Mailing Address - Phone:203-520-4793
Mailing Address - Fax:
Practice Address - Street 1:47 EDGEWOOD AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-2625
Practice Address - Country:US
Practice Address - Phone:203-520-4793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000512251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health