Healthcare Provider Details
I. General information
NPI: 1508772575
Provider Name (Legal Business Name): SYSTEMS STAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1393 E DOWNEY AVE
FLINT MI
48505-1731
US
IV. Provider business mailing address
1393 E DOWNEY AVE
FLINT MI
48505-1731
US
V. Phone/Fax
- Phone: 810-964-2091
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TARA
L
TAYLOR
Title or Position: OWNER
Credential:
Phone: 810-964-2091