Allstar Health Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

033-R-0107 Issued in GA

Legal business name

ALLSTAR HEALTH CARE INC

Practice address

950 Cobb Pkwy S
Suite 301
Marietta, GA 30060-6544

Phone

(770) 485-2408

Fax

(770) 485-2417

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria R Davis

Title

Director

Phone

(770) 485-2408

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1699049429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S",
            "address_2": "SUITE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606544",
            "telephone_number": "770-485-2408",
            "fax_number": "770-485-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S",
            "address_2": "SUITE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606544",
            "telephone_number": "770-485-2408",
            "fax_number": "770-485-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-485-2408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889842B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889842A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.