Provider Demographics
NPI:1982973160
Name:LEADING STAR HOME HEALTH INC
Entity Type:Organization
Organization Name:LEADING STAR HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:MUZAFFAR
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:313-538-1867
Mailing Address - Street 1:24755 5 MILE RD
Mailing Address - Street 2:SUITE# 203
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3665
Mailing Address - Country:US
Mailing Address - Phone:313-538-1867
Mailing Address - Fax:313-557-4103
Practice Address - Street 1:24755 5 MILE RD
Practice Address - Street 2:SUITE# 203
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3665
Practice Address - Country:US
Practice Address - Phone:313-538-1867
Practice Address - Fax:313-557-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health