Provider Demographics
NPI:1013009166
Name:NEW STAR HOME HEALTH INC
Entity Type:Organization
Organization Name:NEW STAR HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAISEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-356-4130
Mailing Address - Street 1:9240 SW 72ND ST
Mailing Address - Street 2:STE 237
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3261
Mailing Address - Country:US
Mailing Address - Phone:786-517-3949
Mailing Address - Fax:786-517-3950
Practice Address - Street 1:9240 SW 72ND ST
Practice Address - Street 2:STE 237
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3261
Practice Address - Country:US
Practice Address - Phone:786-517-3949
Practice Address - Fax:786-517-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health