Organization Active NPI

Starcrest Healthcare Services, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1467603712
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STARCREST HEALTHCARE SERVICES, INC
Practice address
8111 LBJ Fwy Ste 1225a
Dallas, TX 75251-1313
Phone
(972) 735-8683
Fax
(972) 735-8767
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Mini Prince
Title
Director
Phone
(972) 735-8683

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Pediatric Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0200X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

8111 LBJ Fwy Ste 1225a
Dallas, TX 75251-1313

Mailing address

8111 LBJ Fwy Ste 1225a
Dallas, TX 75251-1313
Phone (972) 735-8683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000083 TX Part A Provider - Home Health Agency 8729127220 Practice locations: Dallas, TX

Home health agency certification: CCN 747546

Legal name
STARCREST HEALTHCARE SERVICES, INC
Doing business as
STARECREST HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 18, 2011
Last certification
Feb 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
8111 LBJ Fwy
Ste 1225a
Dallas, TX 75251-1313

Care Compare: Home health agency

Medicare Care Compare
Listed as
Starcrest Healthcare Services IncCCN 747546 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Apr 18, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2003851Starcrest Healthcare Services, Inc8111 LBJ Freeway Suite 1225a, Dallas, TX 75251Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

2625 N Josey Ln
Ste 102
Carrollton, TX 75007
Phone (469) 286-7363

8111 LBJ
Ste 1225A
Dallas, TX 75251
Phone (972) 735-8683

17330 Preston Rd
Ste 102B
Dallas, TX 75252
Phone (972) 735-8683

13601 Preston Rd
Ste 560E
Dallas, TX 75240
Phone (682) 472-1132

13601 Preston Rd
Ste 415W
Dallas, TX 75240
Phone (301) 591-4184

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mini Prince Individual 5% Or Greater Indirect Ownership InterestIndirect Owner, Officer/Director Jan 15, 2024 100%
Corporate OfficerIndirect Owner, Officer/Director Jan 15, 2024 100%
Corporate Director Jan 15, 2024 100%
Prince V Samuel Individual 5% Or Greater Indirect Ownership Interest Aug 18, 2025 100%
Corporate OfficerAuthorized Official Jul 31, 2023 100%
Corporate DirectorAdminstrator and Director Aug 18, 2025 100%
W-2 Managing EmployeeManaging Director Jan 15, 2025
Acme Capital Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest Jan 15, 2024 100%
Merin Prince Individual W-2 Managing EmployeeAlternate Administrator Dec 29, 2022 100%
Vivian Poblete Individual W-2 Managing EmployeeSupervising Nurse Aug 18, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1467603712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "972-735-8683",
            "fax_number": "972-735-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "972-735-8683",
            "fax_number": "972-735-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARCREST HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-735-8683"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.