MEDICARE: JOYSTAR HOME HEALTH 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	251E00000X	Home Health Agency	010990	TX

General Provider Information

NPI Number	:	1912044686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYSTAR HOME HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	2018 RUSTIC OAK LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5651
Country	:	US
Telephone Number	:	832-766-7130
Fax Number	:	281-232-7422

Provider Business Practice Location Address
First Line	:	2018 RUSTIC OAK LANE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5651
Country	:	US
Telephone Number	:	832-766-7130
Fax Number	:	281-232-7422

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FELIX C MADUKA SR.
Credential	:
Telephone Number	:	832-766-7130

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	03/04/2008

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