Healthcare Provider Details

I. General information

NPI: 1083928758
Provider Name (Legal Business Name): ALLSTAR CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 HASTY LN STE 103
MIDLOTHIAN VA
23112-3369
US

IV. Provider business mailing address

10810 HASTY LN STE 103
MIDLOTHIAN VA
23112-3369
US

V. Phone/Fax

Practice location:
  • Phone: 804-912-5688
  • Fax:
Mailing address:
  • Phone: 804-912-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberHCO-11670
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. JOAN D SHIFFLETT
Title or Position: OWNER
Credential:
Phone: 804-920-9190