Provider Demographics
NPI:1972758803
Name:CARESTAR
Entity Type:Organization
Organization Name:CARESTAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTSO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-277-7683
Mailing Address - Street 1:3824 DEPOT RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-9428
Mailing Address - Country:US
Mailing Address - Phone:330-277-7683
Mailing Address - Fax:
Practice Address - Street 1:4744 BAYARD ST
Practice Address - Street 2:
Practice Address - City:HOMEWORTH
Practice Address - State:OH
Practice Address - Zip Code:44634-9751
Practice Address - Country:US
Practice Address - Phone:330-525-7843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health