Gold Star Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

36987479 Issued in TX

Legal business name

GOLD STAR HOME HEALTHCARE

Practice address

960 E Hwy 121 Business
Lewisville, TX 75057

Phone

(502) 714-1573

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Monique Banks-Hall, RN

Title

Owner/Administrator

Phone

(502) 714-1573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1124486204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 PARKWOOD BLVD",
            "address_2": "12100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349514",
            "telephone_number": "502-714-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E HWY 121 BUSINESS",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75057",
            "telephone_number": "502-714-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "BANKS-HALL",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "502-714-1573",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "36987479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.