Healthcare Provider Details

I. General information

NPI: 1639745896
Provider Name (Legal Business Name): MUNI & STARS FAMILY HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 TURTLE CREEK WAY
LAWRENCEVILLE GA
30043-2008
US

IV. Provider business mailing address

2135 TURTLE CREEK WAY
LAWRENCEVILLE GA
30043-2008
US

V. Phone/Fax

Practice location:
  • Phone: 404-895-9588
  • Fax: 404-393-8986
Mailing address:
  • Phone: 404-895-9588
  • Fax: 404-393-8986

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NIMA BARRIE
Title or Position: OWNER/NURSE DIRECTOR
Credential: RN
Phone: 404-895-9588