Provider Demographics
NPI:1891867263
Name:STAR ASSOCIATES INC
Entity Type:Organization
Organization Name:STAR ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-727-1558
Mailing Address - Street 1:12 W MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3806
Mailing Address - Country:US
Mailing Address - Phone:410-727-1558
Mailing Address - Fax:
Practice Address - Street 1:12 W MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3806
Practice Address - Country:US
Practice Address - Phone:410-727-1558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1039251E00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)