Healthcare Provider Details

I. General information

NPI: 1871216127
Provider Name (Legal Business Name): STARS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HANSON RD
CHARLTON MA
01507-1529
US

IV. Provider business mailing address

7 HANSON RD
CHARLTON MA
01507-1529
US

V. Phone/Fax

Practice location:
  • Phone: 781-539-4869
  • Fax:
Mailing address:
  • Phone: 781-539-4869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care 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: MR. MICHAEL MAWANDA MUTEBI
Title or Position: DIRECTOR
Credential:
Phone: 781-420-3059