MEDICARE: ALLSTAR HOME HEALTH AGENCY 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	011324	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568417707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLSTAR HOME HEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	1119 NEWPORT BLVD
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5024
Country	:	US
Telephone Number	:	713-777-5900
Fax Number	:	281-724-9641

Provider Business Practice Location Address
First Line	:	1119 NEWPORT BLVD
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5024
Country	:	US
Telephone Number	:	713-777-5900
Fax Number	:	281-724-9641

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CHINWENDU CHINWUBA
Credential	:
Telephone Number	:	713-777-5900

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	04/29/2015

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Directions to “ALLSTAR HOME HEALTH AGENCY INC ” Practice Location

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