Organization Active NPI

Star Med of Kentucky LLC

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1316634272
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAR MED OF KENTUCKY LLC
Practice address
4156 Westport Rd Ste 214
Louisville, KY 40207-2705
Phone
(502) 742-0012
Fax
(877) 897-8103
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Rayshawn Hunter, CMANPI 1790489284
Title
Owner
Phone
(859) 309-8552

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary
Transportation Network Company 342000000X
Transportation Broker 347E00000X

Addresses

Primary practice location

4156 Westport Rd Ste 214
Louisville, KY 40207-2705

Mailing address

4156 Westport Rd Ste 214
Louisville, KY 40207-2705
Phone (502) 742-0012

Other names 1

  • Star Med Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

4156 Westport Rd
Ste 214
Louisville, KY 40207
Phone (502) 653-9019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1316634272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 WESTPORT RD STE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072705",
            "telephone_number": "502-742-0012",
            "fax_number": "877-897-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 WESTPORT RD STE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072705",
            "telephone_number": "502-742-0012",
            "fax_number": "877-897-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MED OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "RAYSHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-309-8552",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Med Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.