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NPI Code Detail

MEDICARE: STARCARE

MEDICARE: STARCARE
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
1253J00000XFoster Care Agency
2311Z00000XCustodial Care Facility
3311ZA0620XAdult Care Home Facility
4320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5343900000XNon-emergency Medical Transport (VAN)
6385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
7253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100E09OTHERTNDMRS

General Provider Information

NPI Number : 1124255476
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARCARE
Provider Business Mailing Address
First Line : 1161 MURFREESBORO PIKE
Second Line : SUITE 523
City : NASHVILLE
State : TN
Zip : 37217-2222
Country : US
Telephone Number : 615-367-0513
Fax Number :
Provider Business Practice Location Address
First Line : 1161 MURFREESBORO PIKE
Second Line : SUITE 523
City : NASHVILLE
State : TN
Zip : 37217-2222
Country : US
Telephone Number : 615-367-0513
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DIDACUS ONODINGENE
Credential :
Telephone Number : 615-367-0513
Provider Enumeration Date : 06/14/2009
Last Update Date : 06/14/2009

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Directions to “STARCARE ” Practice Location

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