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NPI Code Detail

MEDICARE: LIFE STAR HOME CARE

MEDICARE: LIFE STAR HOME CARE
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
1251E00000XHome Health Agency

Other Identifiers

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

General Provider Information

NPI Number : 1710395272
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE STAR HOME CARE
Provider Business Mailing Address
First Line : 1015 E BROAD ST STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-1370
Country : US
Telephone Number : 614-468-1888
Fax Number : 614-468-1099
Provider Business Practice Location Address
First Line : 1015 E BROAD ST STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-1370
Country : US
Telephone Number : 614-468-1888
Fax Number : 614-468-1099
Authorized Official
Title or Position : CEO
Name : HARSHIL MANIAR
Credential :
Telephone Number : 614-468-1888
Provider Enumeration Date : 07/29/2014
Last Update Date : 09/19/2023

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Directions to “LIFE STAR HOME CARE ” Practice Location

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