MEDICARE: LONE STAR PLUS HOME HEALTH SERVICES 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		TX

General Provider Information

NPI Number	:	1396997656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONE STAR PLUS HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	5504 ROLLING GREEN RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-6263
Country	:	US
Telephone Number	:	817-880-3858
Fax Number	:	817-472-8475

Provider Business Practice Location Address
First Line	:	5504 ROLLING GREEN RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-6263
Country	:	US
Telephone Number	:	817-880-3858
Fax Number	:	817-472-8475

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	PETER OKAFOR
Credential	:	RN
Telephone Number	:	817-880-3858

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	02/02/2009

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