Provider Demographics
NPI:1952753121
Name:BLUE STAR FUTURE HOLDINGS INC
Entity Type:Organization
Organization Name:BLUE STAR FUTURE HOLDINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIJON
Authorized Official - Middle Name:AVERIL
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-933-6766
Mailing Address - Street 1:8800 BROADWAY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6335
Mailing Address - Country:US
Mailing Address - Phone:949-933-6766
Mailing Address - Fax:
Practice Address - Street 1:8800 BROADWAY ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6335
Practice Address - Country:US
Practice Address - Phone:949-933-6766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health