Provider Demographics
NPI:1932492873
Name:HEALTHSTAR HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHSTAR HOMECARE SERVICES LLC
Other - Org Name:HEALTHSTAR CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VANSCIVER
Authorized Official - Suffix:
Authorized Official - Credentials:LRT
Authorized Official - Phone:720-763-3692
Mailing Address - Street 1:10234 PROGRESS LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4044
Mailing Address - Country:US
Mailing Address - Phone:720-851-7028
Mailing Address - Fax:720-528-8105
Practice Address - Street 1:10234 PROGRESS LN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4044
Practice Address - Country:US
Practice Address - Phone:720-851-7028
Practice Address - Fax:720-528-8105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health