Organization Active NPI

Pro-Stars Health Care LLC

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1619403656
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRO-STARS HEALTH CARE LLC
Practice address
980 9TH St FL 16
Sacramento, CA 95814-2736
Phone
(916) 758-8006
NPI assigned
May 11, 2017
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Ijeoma Iheke
Title
Administrator
Phone
(916) 758-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

980 9TH St FL 16
Sacramento, CA 95814-2736

Mailing address

9401 E Stockton Blvd
Ste 145
Elk Grove, CA 95624-5049

National Provider Directory

National Provider Directory

Locations

9401 E Stockton Blvd
Ste 145
Elk Grove, CA 95624
Phone (916) 345-0152

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1619403656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "STE 145",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 9TH ST FL 16",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142736",
            "telephone_number": "916-758-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-STARS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "IHEKE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-758-8006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.