Healthcare Provider Details

I. General information

NPI: 1285283812
Provider Name (Legal Business Name): GUIDING STAR HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11077 BISCAYNE BLVD STE 304
NORTH MIAMI FL
33161-7498
US

IV. Provider business mailing address

11077 BISCAYNE BLVD STE 304
NORTH MIAMI FL
33161-7498
US

V. Phone/Fax

Practice location:
  • Phone: 704-724-3015
  • Fax:
Mailing address:
  • Phone: 786-409-7104
  • Fax: 786-334-5403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HARISHANKAR SUBBARAYAN
Title or Position: OWNER
Credential:
Phone: 786-409-7104