Blue Star Care Solutions

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE STAR CARE SOLUTIONS

Practice address

1222 E 96TH St FL 2
Brooklyn, NY 11236-3903

Phone

(718) 872-4770

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeni Wallace

Title

V.P. of Operations

Phone

(718) 872-4770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1699285726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E 96TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363903",
            "telephone_number": "718-872-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E 96TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363903",
            "telephone_number": "718-872-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "718-872-4770"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.