Active NPI
Star of the East Home Health Agency
- Home Health Agency
- Blacklick, OH
National Provider Identifier
1477106706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STAR OF THE EAST HOME HEALTH AGENCY
- Practice address
- 634 Streamwater Dr
Blacklick, OH 43004 - Phone
- (832) 683-0625
- NPI assigned
- Jul 16, 2019
- 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. Sergius M Ejikeme
- Title
- Registered Nurse
- Phone
- (832) 683-0625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
634 Streamwater Dr
Blacklick, OH 43004
Mailing address
634 Streamwater Dr
Blacklick, OH 43004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1477106706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 STREAMWATER DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "43004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 STREAMWATER DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "43004",
"telephone_number": "832-683-0625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR OF THE EAST HOME HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "EJIKEME",
"authorized_official_first_name": "SERGIUS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "832-683-0625",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.