Golden Star Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011087 Issued in IL

Legal business name

GOLDEN STAR HOME HEALTH CARE LLC

Practice address

7627 N Milwaukee Ave
Rear
Niles, IL 60714-3132

Phone

(847) 470-9271

Fax

(847) 470-9275

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Carreon, L.P.N.

Title

Secretary

Phone

(847) 470-9271

Specialties & licenses 1

Addresses

Tax ID family

Golden Star Home Health Care LLC2 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.

• Golden Star Home Health Care, LLC

  • Home Health Agency
  • Chicago, IL
  • NPI 1851731384
  NPD tax ID

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1295064913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 N MILWAUKEE AVE",
            "address_2": "REAR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143132",
            "telephone_number": "847-470-9271",
            "fax_number": "847-470-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 N MILWAUKEE AVE",
            "address_2": "REAR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143132",
            "telephone_number": "847-470-9271",
            "fax_number": "847-470-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STAR HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-470-9271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Niles, IL
• Providers in Niles, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.