MEDICARE: NORTH STAR SENIOR CARE, 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

General Provider Information

NPI Number	:	1598906224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH STAR SENIOR CARE, INC.

Provider Business Mailing Address
First Line	:	3111 CENTER POINT DR
Second Line	:	SUITE A
City	:	EDINBURG
State	:	TX
Zip	:	78539-8545
Country	:	US
Telephone Number	:	956-445-4946
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 CENTER POINT DR
Second Line	:	SUITE A
City	:	EDINBURG
State	:	TX
Zip	:	78539-8545
Country	:	US
Telephone Number	:	956-445-4946
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EDUARDO GARCIA JR.
Credential	:
Telephone Number	:	956-445-4946

Provider Enumeration Date	:	03/10/2009
Last Update Date	:	03/10/2009

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