Provider Demographics
NPI:1982856977
Name:ALL STAR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ALL STAR HOME HEALTH CARE INC
Other - Org Name:FOR RACHEL ONLY HOME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:COONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-614-4659
Mailing Address - Street 1:228 E MAIN ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-2923
Mailing Address - Country:US
Mailing Address - Phone:763-614-4659
Mailing Address - Fax:763-712-5753
Practice Address - Street 1:228 E MAIN ST
Practice Address - Street 2:SUITE 113
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-2923
Practice Address - Country:US
Practice Address - Phone:763-614-4659
Practice Address - Fax:763-712-5753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health