MEDICARE: STAR HOME HEALTH 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	009600	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009600	OTHER	TX	STATE HOME HEALTH AGENCY
2	001014520	OTHER	TX	PHC/FC CONTRACT
3	45D1036286	OTHER	TX	CLIA WAIVER ID NUMBER

General Provider Information

NPI Number	:	1306868377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	6100 CORPORATE DR STE 330
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3419
Country	:	US
Telephone Number	:	713-785-4949
Fax Number	:	713-782-6100

Provider Business Practice Location Address
First Line	:	6100 CORPORATE DR STE 330
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3419
Country	:	US
Telephone Number	:	713-478-0390
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CLEMENTINA O IKWUEZUNMA
Credential	:
Telephone Number	:	713-785-4949

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/30/2025

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Directions to “STAR HOME HEALTH INC. ” Practice Location

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