MEDICARE: ALL AMERICAN STAR HOSPICE 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
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1457889966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN STAR HOSPICE INC

Provider Business Mailing Address
First Line	:	9100 SOUTHWEST FWY STE 100A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	281-310-7169
Fax Number	:	281-208-0179

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY STE 100A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	281-310-7169
Fax Number	:	281-208-0179

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL CHIMEZIE NNADI
Credential	:
Telephone Number	:	281-310-7169

Provider Enumeration Date	:	05/28/2017
Last Update Date	:	04/29/2024

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Directions to “ALL AMERICAN STAR HOSPICE INC ” Practice Location

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