Provider Demographics
NPI:1255067237
Name:STAR QUALITY HEALTH CARE LLC
Entity type:Organization
Organization Name:STAR QUALITY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:LUSINETE
Authorized Official - Last Name:RABITT
Authorized Official - Suffix:
Authorized Official - Credentials:AGNP
Authorized Official - Phone:239-410-6505
Mailing Address - Street 1:4755 SUMMERLIN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-1073
Mailing Address - Country:US
Mailing Address - Phone:239-362-2505
Mailing Address - Fax:833-671-1050
Practice Address - Street 1:4755 SUMMERLIN RD STE 2
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-1073
Practice Address - Country:US
Practice Address - Phone:239-362-2505
Practice Address - Fax:833-671-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontologyGroup - Single Specialty