Organization Active NPI

Healthstar Medical Services, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1083790703
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008015 Issued in TX
Legal business name
HEALTHSTAR MEDICAL SERVICES, INC
Practice address
1417 N Cockrell Hill Rd Ste 106
Dallas, TX 75211-1430
Phone
(214) 228-5447
Fax
(469) 778-0118
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Eberechi Ure AgbaraNPI 1790135838
Title
Administrator
Phone
(469) 778-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008015 TX Primary

Addresses

Primary practice location

1417 N Cockrell Hill Rd Ste 106
Dallas, TX 75211-1430

Mailing address

1417 N Cockrell Hill Rd Ste 1O6
Dallas, TX 75211-1308
Phone (214) 228-5447

Other identifiers 1

IdentifierTypeStateIssuer
001012183MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000023 TX Part A Provider - Home Health Agency 8426223256 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083790703. Details of each certification follow.

Home health agency certification: CCN 679202

Legal name
HEALTHSTAR MEDICAL SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2002
Last certification
Nov 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
in TX
Enrollment address
1417 N Cockrell Hill Rd
Ste 101a
Dallas, TX 75211-1308

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ahealthstar Homecare AgencyCCN 679202 · All quality measures
Ownership
Proprietary
Certified
Dec 23, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1001013Healthstar Medical Service, Inc1417 N Cockrell Hill Rd Suite 106a, Dallas, TX 75211Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Health Star Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1417 N Cockrell Hill Rd
Ste 101A
Dallas, TX 75211
Phone (214) 228-5447

1417 N Cockrell Hill Rd
Ste 1O1A
Dallas, TX 75211

1417 N Cockrell Hill Rd
Ste 1O6
Dallas, TX 75211

4402 Broadway Blvd
#6F
Garland, TX 75043
Phone (214) 227-5516

4402 Broadway Blvd
Ste 6F
Garland, TX 75043
Phone (214) 227-5516

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
Eberechi Agbara Individual 5% Or Greater Direct Ownership InterestAdministrator Jul 31, 2014 100%
W-2 Managing Employee Dec 31, 2010
Chibuzor Ngwakwe Individual Corporate DirectorDirector of Nursing Jul 31, 2014
W-2 Managing EmployeeDirector of Nursing Jul 31, 2014 80%

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1083790703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N COCKRELL HILL RD STE 1O6",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111308",
            "telephone_number": "214-228-5447",
            "fax_number": "469-778-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N COCKRELL HILL RD STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111430",
            "telephone_number": "214-228-5447",
            "fax_number": "469-778-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "AGBARA",
        "authorized_official_first_name": "EBERECHI",
        "authorized_official_middle_name": "URE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-778-0124"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.