MEDICARE: STAR IN HOME CARE LLC

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
1	372500000X	Chore Provider
2	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1740150945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR IN HOME CARE LLC

Provider Business Mailing Address
First Line	:	16 MARCHWOOD CV
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72210-3704
Country	:	US
Telephone Number	:	501-563-5281
Fax Number	:	501-762-8068

Provider Business Practice Location Address
First Line	:	155 E MARKET ST FL 7
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3294
Country	:	US
Telephone Number	:	501-563-5281
Fax Number	:	501-762-8068

Authorized Official
Title or Position	:	PRESIDENT - CEO
Name	:	CLARISE MICHELLE TATUM
Credential	:
Telephone Number	:	501-563-5281

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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Directions to “STAR IN HOME CARE LLC ” Practice Location

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