Healthcare Provider Details

I. General information

NPI: 1043169394
Provider Name (Legal Business Name): CARESTAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 COOPER RD STE 200
CINCINNATI OH
45242-5649
US

IV. Provider business mailing address

4540 COOPER RD STE 200
CINCINNATI OH
45242-5649
US

V. Phone/Fax

Practice location:
  • Phone: 513-618-8300
  • Fax: 513-618-8319
Mailing address:
  • Phone: 513-618-8300
  • Fax: 513-618-8319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH KOLKS
Title or Position: CFO
Credential:
Phone: 513-618-8300