North Star Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009213 Issued in TX

Legal business name

NORTH STAR HOME HEALTH SERVICES, INC.

Practice address

1340 Prudential Dr
Dallas, TX 75235-4115

Phone

(214) 275-4667

Fax

(214) 275-5273

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Susie Mathew, RN

Title

Administrator

Phone

(214) 275-4667

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• NORTH STAR HOME HEALTH SERVICES Doing business as

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1891901997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PRUDENTIAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354115",
            "telephone_number": "214-275-4667",
            "fax_number": "214-275-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PRUDENTIAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354115",
            "telephone_number": "214-275-4667",
            "fax_number": "214-275-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-275-4667",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009213",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000630700",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018833",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH STAR HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.