NPIMap

Organization Active NPI

St. Luke's Homestar Services LLC

Doing business as HomeStar Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • North Wales, PA
National Provider Identifier
1326340050
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000002573 Issued in PA
Legal business name
ST. LUKE'S HOMESTAR SERVICES LLC
Doing business as
HomeStar Medical Equipment
Practice address
1200 Welsh Rd
North Wales, PA 19454-3771
Phone
(215) 529-6351
Fax
(610) 882-9105
NPI assigned
Dec 1, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Mr. Keith Boroch, COO
Title
President
Phone
(610) 419-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000002573 PA Primary

Addresses

Primary practice location

1200 Welsh Rd
North Wales, PA 19454-3771

Mailing address

77 S Commerce Way
Bethlehem, PA 18017
Phone (610) 419-7610

Other identifiers 3

IdentifierTypeStateIssuer
213649OtherHIGHMARK
39HA15OtherCAPITAL BLUE CROSS
1021947390004MedicaidPA

Other names 1

  • HomeStar Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homestar Pharmacy Mail Order11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1326340050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-419-7610",
            "fax_number": "610-882-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WELSH RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543771",
            "telephone_number": "215-529-6351",
            "fax_number": "610-882-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOMESTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "BOROCH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-419-7610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "1000002573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "213649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "39HA15",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021947390004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeStar Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.