Active NPI
Starcare Home Health LLC
- Home Health Agency
- Fremont, CA
National Provider Identifier
1114592102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STARCARE HOME HEALTH LLC
- Practice address
- 2140 Peralta Blvd Ste 210
Fremont, CA 94536-3960 - Phone
- (510) 557-4571
- NPI assigned
- May 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Selda Cirak, RN
- Title
- RN/Director of Clinical Services
- Phone
- (510) 557-4571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2140 Peralta Blvd Ste 210
Fremont, CA 94536-3960
Mailing address
2140 Peralta Blvd Ste 210
Fremont, CA 94536-3960
Phone (510) 557-4571
Other practice location 1
2450 Peralta Blvd Ste 207
Fremont, CA 94536-3826
Phone (510) 557-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231009002406 | CA | Part A Provider - Home Health Agency | 1759736903 | Practice locations: Fremont, CA |
Home health agency certification: CCN 757555
- Legal name
- STARCARE HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 15, 2023
- Last certification
- Dec 8, 2023
- Organization structure
- LLC
- Incorporated
- Mar 20, 2021 in CA
- Enrollment address
- 2140 Peralta Blvd
Ste 210
Fremont, CA 94536-3960
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Starcare Home Health LLC
- Ownership
- -
- Certified
- Dec 15, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2140 Peralta Blvd
Ste 210
Fremont, CA 94536
Phone (510) 557-4571
2450 Peralta Blvd
Ste 207
Fremont, CA 94536
Phone (510) 200-8559
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Selda Cirak | 5% Or Greater Direct Ownership Interest | Mar 20, 2021 | 100% |
| Corporate Officer | Mar 20, 2021 | 100% | |
| Corporate Director | Mar 20, 2021 | 100% | |
| W-2 Managing Employee | Mar 20, 2021 | 100% | |
| Operational/Managerial Control | Mar 20, 2021 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1114592102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 PERALTA BLVD STE 210",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363960",
"telephone_number": "510-557-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 PERALTA BLVD STE 210",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363960",
"telephone_number": "510-557-4571"
}
],
"practiceLocations": [
{
"address_1": "2450 Peralta Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945363826",
"country_code": "US",
"telephone_number": "510-557-4571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STARCARE HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-23",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "CIRAK",
"authorized_official_first_name": "SELDA",
"authorized_official_title_or_position": "RN/DIRECTOR OF CLINICAL SERVICES",
"authorized_official_telephone_number": "510-557-4571",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.