Provider Demographics
NPI:1891120556
Name:STAR NURSING
Entity Type:Organization
Organization Name:STAR NURSING
Other - Org Name:NURSING AGENCY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-687-7399
Mailing Address - Street 1:2795 E BIDWELL ST # 100-102
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6480
Mailing Address - Country:US
Mailing Address - Phone:877-687-7399
Mailing Address - Fax:877-687-7400
Practice Address - Street 1:2795 E BIDWELL ST # 100-102
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6480
Practice Address - Country:US
Practice Address - Phone:877-687-7399
Practice Address - Fax:877-687-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management