Med Star Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MED STAR AGENCY, INC.

Practice address

7424 Crenshaw Blvd
Los Angeles, CA 90043-4932

Phone

(404) 543-9163

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pauline Badiki

Title

Ceo, Director

Phone

(404) 543-9163

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1003014697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434932",
            "telephone_number": "404-543-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434932",
            "telephone_number": "404-543-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BADIKI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "CEO, DIRECTOR",
        "authorized_official_telephone_number": "404-543-9163"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.