MEDICARE: BEST STAR HOME HEALTH; 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	008100	TX

General Provider Information

NPI Number	:	1912940644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST STAR HOME HEALTH; INC

Provider Business Mailing Address
First Line	:	1140 EMPIRE CENTRAL DR
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75247-4322
Country	:	US
Telephone Number	:	214-631-7827
Fax Number	:	214-631-3185

Provider Business Practice Location Address
First Line	:	1140 EMPIRE CENTRAL DR
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75247-4322
Country	:	US
Telephone Number	:	214-631-7827
Fax Number	:	214-631-3185

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. STAN CHIMEZIE ONYEDEBELU
Credential	:
Telephone Number	:	214-631-7827

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	01/23/2008

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Directions to “BEST STAR HOME HEALTH; INC ” Practice Location

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