Healthcare Provider Details

I. General information

NPI: 1831067552
Provider Name (Legal Business Name): ALLSTAR CARE HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11586 AUTUMN TERRACE DR
WHITE MARSH MD
21162-1151
US

IV. Provider business mailing address

PO BOX 10
WHITE MARSH MD
21162-0010
US

V. Phone/Fax

Practice location:
  • Phone: 240-643-8562
  • Fax: 443-378-8818
Mailing address:
  • Phone: 240-643-8562
  • Fax: 443-378-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DAVID K AMENYAH
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 240-643-8562