NPIMap

Organization Active NPI

Star Home Health Inc

  • Home Health Agency
  • Highland, IN
National Provider Identifier
1073879045
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12-012801-1 Issued in IN
Legal business name
STAR HOME HEALTH INC
Practice address
9515 Indianapolis Blvd
Suite 4
Highland, IN 46322-2642
Phone
(219) 922-7800
Fax
(219) 922-7805
NPI assigned
Apr 4, 2012
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Mr. Faisal M Yasin
Title
Administrator
Phone
(219) 922-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12-012801-1 IN Primary

Addresses

Primary practice location

9515 Indianapolis Blvd
Suite 4
Highland, IN 46322-2642

Mailing address

9515 Indianapolis Blvd
Suite 4
Highland, IN 46322-2642
Phone (219) 922-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120611000654 IN Part A Provider - Home Health Agency 9234393810 Practice locations: Highland, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073879045. Details of each certification follow.

Home health agency certification: CCN 157648

Legal name
STAR HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 24, 2012
Last certification
Jul 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 17, 2012 in IN
Enrollment address
9515 Indianapolis Blvd
Suite 4
Highland, IN 46322-2643

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Home Health IncCCN 157648 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 24, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Star Home Health Inc Organization, Highland, IN Corporation 5% Or Greater Direct Ownership Interest Jan 17, 2012 100%
Faisal M Yasin Individual 5% Or Greater Direct Ownership Interest Jan 17, 2012 100%
W-2 Managing Employee Jan 17, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1073879045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 INDIANAPOLIS BLVD",
            "address_2": "SUITE 4",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222642",
            "telephone_number": "219-922-7800",
            "fax_number": "219-237-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 INDIANAPOLIS BLVD",
            "address_2": "SUITE 4",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222642",
            "telephone_number": "219-922-7800",
            "fax_number": "219-922-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-922-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "12-012801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.