Active NPI
Northstar Care Services LLC
- Adult Day Care Clinic/Center
- West Chester, OH
National Provider Identifier
1386879393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- NORTHSTAR CARE SERVICES LLC
- Practice address
- 7786 Service Center Dr
West Chester, OH 45069-2442 - Phone
- (513) 755-9599
- Fax
- (513) 755-2824
- NPI assigned
- May 19, 2009
- 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
- Mr. Hugh B Clark, MBA
- Title
- Ceo
- Phone
- (513) 755-9599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | OH | Primary |
Addresses
Primary practice location
7786 Service Center Dr
West Chester, OH 45069-2442
Mailing address
7786 Service Center Dr
West Chester, OH 45069-2442
Phone (513) 755-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2803729 | Medicaid | OH |
Other names 1
- The Charleston Club
National Provider Directory
National Provider Directory- Tax ID family
- Northstar Care Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Cincinnati, OH
- NPI 1174880926
Locations
7786 Service Center Dr
West Chester, OH 45069
Phone (513) 755-9599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1386879393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7786 SERVICE CENTER DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692442",
"telephone_number": "513-755-9599",
"fax_number": "513-755-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7786 SERVICE CENTER DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692442",
"telephone_number": "513-755-9599",
"fax_number": "513-755-2824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "513-755-9599",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2803729",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Charleston Club",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.