Provider Demographics
NPI:1831346048
Name:NORTH STAR VENTURES INC.
Entity type:Organization
Organization Name:NORTH STAR VENTURES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:VAN HOOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-436-6688
Mailing Address - Street 1:8516 N OAK TRFY
Mailing Address - Street 2:SUITE D
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2433
Mailing Address - Country:US
Mailing Address - Phone:816-436-6688
Mailing Address - Fax:816-436-0988
Practice Address - Street 1:8516 N OAK TRFY
Practice Address - Street 2:SUITE D
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2433
Practice Address - Country:US
Practice Address - Phone:816-436-6688
Practice Address - Fax:816-436-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043232080711251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health