Organization Active NPI

Your Star Private Home Care

  • In Home Supportive Care Agency
  • Hampton, GA
National Provider Identifier
1720697758
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YOUR STAR PRIVATE HOME CARE
Practice address
114 Madisyn Dr
Hampton, GA 30228-4846
Phone
(678) 665-3937
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Georgette Milbin
Title
Owner
Phone
(678) 665-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

114 Madisyn Dr
Hampton, GA 30228-4846

Mailing address

114 Madisyn Dr
Hampton, GA 30228-4846
Phone (678) 665-3937

Other names 1

  • Bright STAR Private HOME CARE Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1720697758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MADISYN DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284846",
            "telephone_number": "678-665-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MADISYN DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284846",
            "telephone_number": "678-665-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR STAR PRIVATE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MILBIN",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-665-3937"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright STAR Private HOME CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.