Organization Active NPI

Star Healthcare Agency, Inc.

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1568690212
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3831 Issued in NC
Legal business name
STAR HEALTHCARE AGENCY, INC.
Practice address
4422 N Roxboro St
Suite a
Durham, NC 27704-1830
Phone
(919) 471-4444
Fax
(919) 471-1515
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mr. Nnamdi Agubama
Title
Director
Phone
(919) 471-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3831 NC Primary

Addresses

Primary practice location

4422 N Roxboro St
Suite a
Durham, NC 27704-1830

Mailing address

4422 N Roxboro St
Suite a
Durham, NC 27704-1830
Phone (919) 471-4444

Other identifiers 1

IdentifierTypeStateIssuer
123456OtherNCPERSONAL CARE SERVICES

National Provider Directory

National Provider Directory

Locations

4422 N Roxboro St
Ste A
Durham, NC 27704
Phone (919) 471-4444

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1568690212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N ROXBORO ST",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041830",
            "telephone_number": "919-471-4444",
            "fax_number": "919-471-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N ROXBORO ST",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041830",
            "telephone_number": "919-471-4444",
            "fax_number": "919-471-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "AGUBAMA",
        "authorized_official_first_name": "NNAMDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-471-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE SERVICES",
            "identifier": "123456",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.