Healthcare Provider Details

I. General information

NPI: 1326742032
Provider Name (Legal Business Name): DAYSTAR HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 SUSANS PASS
ELKRIDGE MD
21075-7948
US

IV. Provider business mailing address

7120 SUSANS PASS
ELKRIDGE MD
21075-7948
US

V. Phone/Fax

Practice location:
  • Phone: 240-234-7931
  • Fax:
Mailing address:
  • Phone: 240-234-7931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KATE ADU-GYAMFI
Title or Position: OWNER
Credential:
Phone: 240-234-7931