MEDICARE: ALL STAR CARE SERVICES LLC

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	261QD1600X	Developmental Disabilities Clinic/Center
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730631474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STAR CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4300 N UNIVERSITY DR STE C102
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6243
Country	:	US
Telephone Number	:	305-859-3070
Fax Number	:	305-615-3260

Provider Business Practice Location Address
First Line	:	8538 SW 156TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1215
Country	:	US
Telephone Number	:	305-859-3070
Fax Number	:	305-615-3260

Authorized Official
Title or Position	:	OWNER
Name	:	CLAUDIA BORRERO
Credential	:
Telephone Number	:	305-859-3070

Provider Enumeration Date	:	10/28/2016
Last Update Date	:	09/30/2024

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