Active NPI
Blue Star Home Care Services LLC.
- In Home Supportive Care Agency
- Gastonia, NC
National Provider Identifier
1245060904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BLUE STAR HOME CARE SERVICES LLC.
- Practice address
- 219 W Main Ave
8
Gastonia, NC 28052 - Phone
- (704) 692-9179
- Fax
- (704) 215-5257
- NPI assigned
- Aug 6, 2024
- 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
- Kia E Lynch
- Title
- Owner
- Phone
- (704) 215-5771
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
219 W Main Ave
8
Gastonia, NC 28052
Mailing address
219 W Main Ave Ste 8
Gastonia, NC 28052-4140
Phone (704) 215-5771
National Provider Directory
National Provider Directory- Tax ID family
- Blue Star Home Care Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Gastonia, NC
- NPI 1346071388
Locations
219 W Main Ave
Ste 8
Gastonia, NC 28052
219 W Main Ave
#8
Gastonia, NC 28052
Phone (704) 692-9179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1245060904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W MAIN AVE STE 8",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524140",
"telephone_number": "704-215-5771",
"fax_number": "704-215-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W MAIN AVE",
"address_2": "8",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28052",
"telephone_number": "704-692-9179",
"fax_number": "704-215-5257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE STAR HOME CARE SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "KIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-215-5771"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.