Provider Demographics
NPI:1801415740
Name:ALLSTAR HOMECARE
Entity type:Organization
Organization Name:ALLSTAR HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:567-742-7321
Mailing Address - Street 1:5461 SOUTHWYCK BLVD STE 1U
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1553
Mailing Address - Country:US
Mailing Address - Phone:567-742-7321
Mailing Address - Fax:
Practice Address - Street 1:5461 SOUTHWYCK BLVD STE 1U
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1553
Practice Address - Country:US
Practice Address - Phone:419-708-2060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0429668Medicaid