MEDICARE: STAR HOME CARE AND COMPANION SERVICES 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	253Z00000X	In Home Supportive Care Agency	232681	FL

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
2	232681	OTHER	FL	AHCA
3	232728	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1629423611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR HOME CARE AND COMPANION SERVICES INC

Provider Business Mailing Address
First Line	:	4100 CORPORATE SQ
Second Line	:	SUITE 151
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-331-8690
Fax Number	:	239-643-6628

Provider Business Practice Location Address
First Line	:	4100 CORPORATE SQ
Second Line	:	SUITE 151
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-331-8690
Fax Number	:	239-643-6628

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. YUDERCA M BARBERA
Credential	:
Telephone Number	:	239-331-8690

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	04/27/2016

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Directions to “STAR HOME CARE AND COMPANION SERVICES INC ” Practice Location

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