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NPI Code Detail

MEDICARE: STAR HOME CARE PROVIDER

MEDICARE: STAR HOME CARE PROVIDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1134602550
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR HOME CARE PROVIDER
Provider Business Mailing Address
First Line : 4811 GERMANTOWN AVE STE 202
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-3014
Country : US
Telephone Number : 215-621-7100
Fax Number :
Provider Business Practice Location Address
First Line : 4811 GERMANTOWN AVE STE 202
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-3014
Country : US
Telephone Number : 215-621-7100
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CRISTINA VEMBA
Credential :
Telephone Number : 215-621-7100
Provider Enumeration Date : 09/11/2018
Last Update Date : 09/11/2018

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Directions to “STAR HOME CARE PROVIDER ” Practice Location

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