Organization Active NPI

Northstar Care Services LLC

  • Adult Day Care Clinic/Center
  • West Chester, OH
National Provider Identifier
1386879393
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on May 19, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2803729MedicaidOH

Other names 1

  • The Charleston Club Other name

National Provider Directory

National Provider Directory
Tax ID family
Northstar Care Services 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.

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.

Verify at the official NPI Registry.