MEDICARE: CARESTAR 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1437970803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARESTAR LLC

Provider Business Mailing Address
First Line	:	2030 W BASELINE RD # 182-1551
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6574
Country	:	US
Telephone Number	:	480-559-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 W BASELINE RD # 182-1551
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6574
Country	:	US
Telephone Number	:	480-559-9999
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JUSTIN BERGENER
Credential	:
Telephone Number	:	509-248-2004

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	03/05/2026

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