Healthcare Provider Details

I. General information

NPI: 1134197874
Provider Name (Legal Business Name): HOMESTAR MEDICAL EQUIPMENT & INFUSION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

5 HIGHLAND AVE SUITE A
BETHLEHEM PA
18017-8967
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-4961
  • Fax: 610-954-2382
Mailing address:
  • Phone: 610-882-2300
  • Fax: 610-882-5869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number1000002573
License Number StatePA

VIII. Authorized Official

Name: MS. DEBORAH A SHARESKY
Title or Position: COLLECTIONS COORDINATOR
Credential:
Phone: 610-882-2300