Healthcare Provider Details

I. General information

NPI: 1942141213
Provider Name (Legal Business Name): BLUESTAR HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 97TH AVE STE 208
MIAMI FL
33173-1410
US

IV. Provider business mailing address

7001 SW 97TH AVE STE 208
MIAMI FL
33173-1410
US

V. Phone/Fax

Practice location:
  • Phone: 786-558-5577
  • Fax:
Mailing address:
  • Phone: 786-558-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LISVETT RODRIGUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-558-5577