MEDICARE: 3 STAR HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093048589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3 STAR HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	7505 GLENVIEW DR
Second Line	:	SUITE 152
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-590-8900
Fax Number	:	817-590-9636

Provider Business Practice Location Address
First Line	:	7505 GLENVIEW DR
Second Line	:	SUITE 152
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-590-8900
Fax Number	:	817-590-9636

Authorized Official
Title or Position	:	ADMINISTRATOR/BRANCH MANAGER
Name	:	MS. KATHLEEN W. TARPLEY
Credential	:	R.N.
Telephone Number	:	817-590-8900

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	09/15/2009

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