Provider Demographics
NPI:1891306981
Name:NORTH STAR HOME HEALTH LLC
Entity Type:Organization
Organization Name:NORTH STAR HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CAMILLO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:847-476-5473
Mailing Address - Street 1:N7247 WHITETAIL LN
Mailing Address - Street 2:
Mailing Address - City:PRINCTON
Mailing Address - State:WI
Mailing Address - Zip Code:54968
Mailing Address - Country:US
Mailing Address - Phone:630-352-6560
Mailing Address - Fax:
Practice Address - Street 1:N7247 WHITETAIL LN
Practice Address - Street 2:
Practice Address - City:PRINCTON
Practice Address - State:WI
Practice Address - Zip Code:54968
Practice Address - Country:US
Practice Address - Phone:630-352-6560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health