Healthcare Provider Details

I. General information

NPI: 1891867263
Provider Name (Legal Business Name): STAR ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 W MONTGOMERY ST
BALTIMORE MD
21230-3806
US

IV. Provider business mailing address

12 W MONTGOMERY ST
BALTIMORE MD
21230-3806
US

V. Phone/Fax

Practice location:
  • Phone: 410-727-1558
  • Fax:
Mailing address:
  • Phone: 410-727-1558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR1039
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEROME ROBINSON JR.
Title or Position: CFO
Credential:
Phone: 410-727-1558