Active NPI
Star Healthcare Agency, Inc.
- Home Health Agency
- Durham, NC
National Provider Identifier
1568690212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3831
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456 | Other | NC | PERSONAL CARE SERVICES |
National Provider Directory
National Provider DirectoryLocations
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.