Goldstar Home Health System, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009830 Issued in TX

Legal business name

GOLDSTAR HOME HEALTH SYSTEM, INC

Practice address

1032 W Pioneer Pkwy
Ste200
Arlington, TX 76013-7629

Phone

(817) 461-3341

Fax

(817) 795-7074

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Jacinta C Lim, MHSM

Title

Cfo

Phone

(817) 461-3341

Specialties & licenses 1

Addresses

Other names 1

• allstar hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 671516

Legal name

GOLDSTAR HOME HEALTH SYSTEM, INC

Doing business as

ALLSTAR HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 15, 2005

Last certification

Sep 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 3, 2003 in TX

Enrollment address

1032 W Pioneer Parkway
Suite 200
Arlington, TX 76013-7629

Listed as

Allstar HospiceCCN 671516

Ownership

For-Profit

Certified

Dec 15, 2005

Medicare certification status

ActiveFrom the Provider of Services file

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 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Javier Caldera-Nieves, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1053358606

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Richard Rick Rodrigo Deleon, DO

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1710017462

  Hospice

  Care Compare affiliation
• Jose Rolando Rivas, MD

  • Emergency Medicine Physician
  • Garland, TX
  • NPI 1275516981

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1861414799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 W PIONEER PKWY",
            "address_2": "STE200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137629",
            "telephone_number": "817-461-3341",
            "fax_number": "817-795-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 W PIONEER PKWY",
            "address_2": "STE200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137629",
            "telephone_number": "817-461-3341",
            "fax_number": "817-795-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR HOME HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JACINTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-461-3341",
        "authorized_official_credential": "MHSM"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "allstar hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Gordon Goldaber, MD
• Golden Age Home Health Corp
• Golden Life Wellness Center DFW LLC
• Golden Path in Home Care, Inc
• Elizabeth Goldrick
• Kassandra Goleman
• Michael Anthony Golson Sr.
• Jose Antonio Gonzales, LMSW
• Alejandro Gonzalez Espinoza, DO
• Eduardo A Gonzalez, M.D.

• Community Based Hospice Care Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.