Active NPI
Nation Star Home Health Care LLC
- Home Health Agency
- East Orange, NJ
National Provider Identifier
1629435433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NATION STAR HOME HEALTH CARE LLC
- Practice address
- 576 Central Ave Ste 304
East Orange, NJ 07018 - Phone
- (973) 378-1000
- Fax
- (973) 378-1111
- NPI assigned
- Jan 25, 2016
- Last updated
- Oct 20, 2021
- 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
- Moshe Rosenberg
- Title
- Ceo
- Phone
- (973) 678-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
576 Central Ave Ste 304
East Orange, NJ 07018
Mailing address
576 Central Ave
Ste 304
East Orange, NJ 07018
Phone (973) 378-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0727156 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
201 Bloomfield Ave
Ste 2
Verona, NJ 07044
Phone (917) 543-1778
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 1, 2023 | Change of Ownership | Promise Care NJ |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Promise Care NJ
- Home Health Agency
- East Orange, NJ
- NPI 1962983379
Sold to, 2023-04-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1629435433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 CENTRAL AVE",
"address_2": "STE 304",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "973-378-1000",
"fax_number": "973-378-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 CENTRAL AVE STE 304",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "973-378-1000",
"fax_number": "973-378-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATION STAR HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-678-5500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0727156",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.