Star Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000856 Issued in CA

Legal business name

STAR HOME HEALTH SERVICES, INC.

Practice address

8900 Benson Ave
Suite F
Montclair, CA 91763-1669

Phone

(909) 920-0675

Fax

(909) 920-0677

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Miles R. Ballesteros

Title

Oasis Data Encoder/Coordinator

Phone

(909) 920-0675

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058228

Legal name

STAR HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 18, 2003

Last certification

Nov 1, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 28, 2003 in CA

Enrollment address

8880 Benson Ave
Ste 108
Montclair, CA 91763-1660
HHA Branch

Listed as

Star Home Health Services, IncCCN 058228

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 18, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1790782696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "SUITE F",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-920-0675",
            "fax_number": "909-920-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "SUITE F",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-920-0675",
            "fax_number": "909-920-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OASIS DATA ENCODER/COORDINATOR",
        "authorized_official_telephone_number": "909-920-0675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutheep Dave Srikureja, DDS
• St, Grace Hospice, Inc.
• Charnae Stacy
• Ramona Chante Stanford Gilbert
• Kimaja Stanley
• Starks Medical Group a Professional Corporation
• Starmedic Transportation, LLC.
• Nicholas Stauffer
• Tanajah Tinae Steen
• Laura J Stephens

• Home Health Agency in Montclair, CA
• Providers in Montclair, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.