Healthcare Provider Details

I. General information

NPI: 1447091830
Provider Name (Legal Business Name): ALLSTAR HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6311 GRIMSBY CT
BOWIE MD
20720-5310
US

IV. Provider business mailing address

6311 GRIMSBY CT
BOWIE MD
20720-5310
US

V. Phone/Fax

Practice location:
  • Phone: 240-320-7078
  • Fax:
Mailing address:
  • Phone: 240-320-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STELLA NWOSU
Title or Position: PRESIDENT
Credential:
Phone: 240-320-7078