MEDICARE: PRIME STAR HOME HEALTH OF CENTRAL TEXAS, 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	00603	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	006083	OTHER	TX	LICENSEDEPTOFAGING&DISABI

General Provider Information

NPI Number	:	1467558759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME STAR HOME HEALTH OF CENTRAL TEXAS, INC.

Provider Business Mailing Address
First Line	:	1527 DOCTORS DRIVE
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111
Country	:	US
Telephone Number	:	318-259-1410
Fax Number	:	318-532-6088

Provider Business Practice Location Address
First Line	:	5206 WIND RIVER RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-4017
Country	:	US
Telephone Number	:	512-847-7080
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER/PARTNER
Name	:	TIFFANY CASTLEMAN
Credential	:	RN, HCS-C
Telephone Number	:	318-259-1410

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	03/03/2022

Similar Medicare Providers

1588927255 — MR. STEVEN DAVID ZELL LCSW
Practice Location Address:

5705 BLYTHEWOOD DR
AUSTIN, TX
78745-4017

Practice Phone: 919-948-0999
Practice Fax:

1104458892 — CHRISTOPHER LONGORIA LMT
Practice Location Address:

4017 VICTORY DR APT 258
AUSTIN, TX
78704-7556

Practice Phone: 210-548-9780
Practice Fax:

1982298055 — ERICA D MCELIECE LMT
Practice Location Address:

3316 S AUSTIN ST
SEATTLE, WA
98118-4017

Practice Phone: 253-347-1317
Practice Fax:

1225888068 — DR. PREYA JAYESH PATEL PHARMD
Practice Location Address:

4017 VICTORY DR APT 220
AUSTIN, TX
78704-7539

Practice Phone: 850-501-2310
Practice Fax:

1962348185 — STEPHANIE JACKSON
Practice Location Address:

4017 VICTORY DR APT 111
AUSTIN, TX
78704-7536

Practice Phone: 830-221-5498
Practice Fax:

1275776205 — RUBIN M SIMON MD
Practice Location Address:

8911 N CAPITAL OF TEXAS HWY BLDG 1
AUSTIN, TX
78759-7247

Practice Phone: 877-279-5960
Practice Fax:

Directions to “PRIME STAR HOME HEALTH OF CENTRAL TEXAS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.