Active NPI
Starcrest Healthcare Services, Inc
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Pediatric Clinical Nurse Specialist | 364SP0200X | |||
| Attendant Care Provider | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 8111 LBJ Fwy
Ste 1225a
Dallas, TX 75251-1313
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Starcrest Healthcare Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 18, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2003851 | Starcrest Healthcare Services, Inc | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mini Prince | 5% Or Greater Indirect Ownership Interest | Jan 15, 2024 | 100% |
| Corporate Officer | Jan 15, 2024 | 100% | |
| Corporate Director | Jan 15, 2024 | 100% | |
| Prince V Samuel | 5% Or Greater Indirect Ownership Interest | Aug 18, 2025 | 100% |
| Corporate Officer | Jul 31, 2023 | 100% | |
| Corporate Director | Aug 18, 2025 | 100% | |
| W-2 Managing Employee | Jan 15, 2025 | ||
| Acme Capital Holdings Inc | 5% Or Greater Direct Ownership Interest | Jan 15, 2024 | 100% |
| Merin Prince | W-2 Managing Employee | Dec 29, 2022 | 100% |
| Vivian Poblete | W-2 Managing Employee | Aug 18, 2025 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1952616187
Home health agency
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
- Star Pharmacy Inc (Star Pharmacy)
- Star Smile Dental and Orthodontics
- Star Staffing (Star Medical Equipment)
- Star Treatment Healthcare Services and Med Spa
- Jonathan Michael Starchville, O.D.
- Charlotte Theresa Starghill, MD
- Felix Wendall Starghill, DDS
- Virginia I. Stark-Vance, M.D.
- Erin Melissa Stark, DC, FICPA
- Kaitlyn Stark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.