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General NPI Number Information
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NPI Number | 1073879045
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Entity Type | Organization
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Legal Business Name | STAR HOME HEALTH INC
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 9515 INDIANAPOLIS BLVD SUITE 4
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City | HIGHLAND
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State | IN
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Zip | 46322-2642
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Country | US
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Telephone | 219-922-7800
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Fax | 219-922-7805
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Provider Business Mailing Address
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Address Line | 9515 INDIANAPOLIS BLVD SUITE 4
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City | HIGHLAND
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State | IN
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Zip | 46322-2642
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Country | US
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Telephone | 219-922-7800
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Fax | 219-237-9019
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FAISAL M YASIN
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Credential |
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Telephone | 219-922-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 12-012801-1
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License Number State | IN
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