Blazing Star Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLAZING STAR HOME CARE LLC

Practice address

1114 Camden CT
Glendale HTS, IL 60139-3755

Phone

(360) 824-7622

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Delnaz Ajmeri

Title

Owner, President, Admin

Phone

(630) 824-7622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1801623731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARMY TRAIL RD STE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082103",
            "telephone_number": "360-824-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CAMDEN CT",
            "city": "GLENDALE HTS",
            "state": "IL",
            "postal_code": "601393755",
            "telephone_number": "360-824-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING STAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "AJMERI",
        "authorized_official_first_name": "DELNAZ",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, ADMIN",
        "authorized_official_telephone_number": "630-824-7622"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Glendale HTS, IL
• Providers in Glendale HTS, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.