Provider Demographics
NPI:1265954630
Name:ALLSTAR HOMECARE FI, INC.
Entity type:Organization
Organization Name:ALLSTAR HOMECARE FI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WAIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-986-1315
Mailing Address - Street 1:762 59TH ST STE 501
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3936
Mailing Address - Country:US
Mailing Address - Phone:718-986-1315
Mailing Address - Fax:
Practice Address - Street 1:762 59TH STREET
Practice Address - Street 2:STE 501
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-238-8399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLSTAR HOMECARE AGENCY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042665423747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty