MEDICARE: CARING STAR HOME HEALTH CARE, LLC

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	1892096	OH

General Provider Information

NPI Number	:	1285962506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING STAR HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	2213 ALBERT AVE
Second Line	:	APT 2C
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3866
Country	:	US
Telephone Number	:	614-707-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2213 ALBERT AVE
Second Line	:	APT 2C
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3866
Country	:	US
Telephone Number	:	614-707-6988
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	ABDIRIZAK HASSAN BULSHALE
Credential	:
Telephone Number	:	614-707-6988

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	11/24/2009

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