Organization Active NPI

Homecare Star LLC

  • In Home Supportive Care Agency
  • Carmichael, CA
National Provider Identifier
1063298578
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOMECARE STAR LLC
Practice address
5705 Marconi Ave Ste 9
Carmichael, CA 95608-4470
Phone
(916) 507-6966
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mohanad Alshammary
Title
Manager
Phone
(916) 507-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5705 Marconi Ave Ste 9
Carmichael, CA 95608-4470

Mailing address

6717 Goldenwood Cir
Citrus Heights, CA 95621-2086
Phone (916) 507-6966

National Provider Directory

National Provider Directory

Locations

5705 Marconi Ave
Ste 9
Carmichael, CA 95608
Phone (916) 507-6966

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1063298578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 GOLDENWOOD CIR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956212086",
            "telephone_number": "916-507-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 MARCONI AVE STE 9",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084470",
            "telephone_number": "916-507-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ALSHAMMARY",
        "authorized_official_first_name": "MOHANAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-507-6966"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.