Healthcare Provider Details

I. General information

NPI: 1215982301
Provider Name (Legal Business Name): STAR HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 06/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13973 FARMINGTON RD
LIVONIA MI
48154-5403
US

IV. Provider business mailing address

13973 FARMINGTON RD
LIVONIA MI
48154-5403
US

V. Phone/Fax

Practice location:
  • Phone: 734-261-3576
  • Fax: 734-338-8834
Mailing address:
  • Phone: 734-261-3576
  • Fax: 734-338-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. GLORIA DUNLAP
Title or Position: CEO/DIRECTOR
Credential:
Phone: 734-261-3576