MEDICARE: REDSTAR GROUP LIMITED LIABILITY COMPANY

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

General Provider Information

NPI Number	:	1558781385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDSTAR GROUP LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	4517 CRYSTAL MOUNTAIN DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3862
Country	:	US
Telephone Number	:	972-644-9170
Fax Number	:

Provider Business Practice Location Address
First Line	:	4517 CRYSTAL MOUNTAIN DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3862
Country	:	US
Telephone Number	:	972-644-9170
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	SYED MONIS ZAIDI
Credential	:
Telephone Number	:	972-644-9170

Provider Enumeration Date	:	04/19/2014
Last Update Date	:	07/01/2014

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Directions to “REDSTAR GROUP LIMITED LIABILITY COMPANY ” Practice Location

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