Provider Demographics
NPI:1982099560
Name:HEALTH STAR HOME CARE LLC
Entity Type:Organization
Organization Name:HEALTH STAR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GITHINJI
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:781-457-6112
Mailing Address - Street 1:19B CROSBY DR STE 160
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1412
Mailing Address - Country:US
Mailing Address - Phone:781-457-6112
Mailing Address - Fax:781-538-4277
Practice Address - Street 1:19B CROSBY DR STE 160
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1412
Practice Address - Country:US
Practice Address - Phone:781-457-6112
Practice Address - Fax:781-538-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health