Healthcare Provider Details

I. General information

NPI: 1356291439
Provider Name (Legal Business Name): NORTHSTAR HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 HAYCASTLE DR
LAKE ST LOUIS MO
63367-5027
US

IV. Provider business mailing address

357 HAYCASTLE DR
LAKE ST LOUIS MO
63367-5027
US

V. Phone/Fax

Practice location:
  • Phone: 314-477-7408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: STERLING S SMITH
Title or Position: OWNER/ADMINSTRATOR
Credential:
Phone: 314-477-7408