Healthcare Provider Details

I. General information

NPI: 1831491133
Provider Name (Legal Business Name): STAR HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 GEORGIA AVE NW STE 4
WASHINGTON DC
20012-1778
US

IV. Provider business mailing address

8223 SPRING BRANCH CT
LAUREL MD
20723-2031
US

V. Phone/Fax

Practice location:
  • Phone: 443-538-6570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVELYN VIFANSI
Title or Position: MANAGER
Credential:
Phone: 443-538-6570