Provider Demographics
NPI:1831616283
Name:BELLESTAR HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:BELLESTAR HOME HEALTH CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AJEAKWA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-693-6677
Mailing Address - Street 1:1568 CREEKSIDE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3449
Mailing Address - Country:US
Mailing Address - Phone:916-693-6677
Mailing Address - Fax:916-693-6680
Practice Address - Street 1:1568 CREEKSIDE DR STE 203
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3449
Practice Address - Country:US
Practice Address - Phone:916-693-6677
Practice Address - Fax:916-693-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty