Provider Demographics
NPI:1700253465
Name:STAR HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:STAR HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NASRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-666-1778
Mailing Address - Street 1:515 E GRANT ST APT 807
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4600
Mailing Address - Country:US
Mailing Address - Phone:612-666-1778
Mailing Address - Fax:
Practice Address - Street 1:515 E GRANT ST APT 807
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4600
Practice Address - Country:US
Practice Address - Phone:612-666-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health