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General NPI Number Information
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NPI Number | 1336032945
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Entity Type | Organization
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Legal Business Name | DAYSTAR FAMILY CARE LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1102 W KEMPER RD
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City | CINCINNATI
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State | OH
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Zip | 45240-1764
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Country | US
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Telephone | 513-429-3289
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Fax | 513-928-7689
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Provider Business Mailing Address
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Address Line | 453 SMILEY AVE
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City | SPRINGDALE
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State | OH
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Zip | 45246-2217
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Country | US
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Telephone | 513-628-7111
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Fax |
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Authorized Official
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Title or Position | C E O
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Name | EDWIN OKOH OKAI
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Credential |
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Telephone | 513-628-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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