Provider Demographics
NPI:1134197874
Name:HOMESTAR MEDICAL EQUIPMENT & INFUSION SERVICES
Entity type:Organization
Organization Name:HOMESTAR MEDICAL EQUIPMENT & INFUSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLECTIONS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHARESKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-882-2300
Mailing Address - Street 1:5 HIGHLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8967
Mailing Address - Country:US
Mailing Address - Phone:610-882-2300
Mailing Address - Fax:610-882-5869
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-4961
Practice Address - Fax:610-954-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1000002573251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39HA15OtherCAPITAL BLUE CROSS
PA213649OtherHIGHMARK
PA1241270001Medicare NSC