=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205053048
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MORNING STAR HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 349 CENTERVILLE ROAD BLDG 6 BLDG 6
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-739-1515
-----------------------------------------------------
Fax | 401-739-1116
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 349 CENTERVILLE ROAD BLDG 6 BLDG 6
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-739-1515
-----------------------------------------------------
Fax | 401-739-1116
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. MARY A. ONYEJOSE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-739-1515
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HNC02320
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | HNC02320
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------