Provider Demographics
NPI:1912247362
Name:S.T.A.R. HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:S.T.A.R. HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THOMAS-REID
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:314-942-2947
Mailing Address - Street 1:6614 W FLORISSANT AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-3647
Mailing Address - Country:US
Mailing Address - Phone:314-942-2947
Mailing Address - Fax:314-942-2946
Practice Address - Street 1:6614 W FLORISSANT AVE STE 3A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-3647
Practice Address - Country:US
Practice Address - Phone:314-942-2947
Practice Address - Fax:314-942-2946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010003391251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care