Provider Demographics
NPI:1912940644
Name:BEST STAR HOME HEALTH; INC
Entity Type:Organization
Organization Name:BEST STAR HOME HEALTH; INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STAN
Authorized Official - Middle Name:CHIMEZIE
Authorized Official - Last Name:ONYEDEBELU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-631-7827
Mailing Address - Street 1:1140 EMPIRE CENTRAL DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4322
Mailing Address - Country:US
Mailing Address - Phone:214-631-7827
Mailing Address - Fax:214-631-3185
Practice Address - Street 1:1140 EMPIRE CENTRAL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4322
Practice Address - Country:US
Practice Address - Phone:214-631-7827
Practice Address - Fax:214-631-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459476Medicare Oscar/Certification