Active NPI
Star Care Home Health, LLC
Doing business as Star Care Home Health
- Home Health Agency
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 004878
- Legal business name
- STAR CARE HOME HEALTH, LLC
- Doing business as
- Star Care Home Health
Star Care Home Health, LLC - Practice address
- 620 N Grant Ave Ste 100
Odessa, TX 79761-4564 - Phone
- (432) 580-7707
- Fax
- (432) 580-7937
- NPI assigned
- Oct 4, 2006
- Last updated
- Feb 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Rubio
- Title
- Human Resources Manager
- Phone
- (432) 580-7707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 004878 | TX | Primary |
Addresses
Primary practice location
620 N Grant Ave Ste 100
Odessa, TX 79761-4564
Mailing address
620 N Grant Ave Ste 100
Odessa, TX 79761-4564
Phone (432) 580-7707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024210901 | Medicaid | TX |
Other names 2
- Star Care Home Health
- Star Care Home Health, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120402000229 | TX | Part A Provider - Home Health Agency | 3870484660 | Practice locations: Odessa, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922193085. Details of each certification follow.
Home health agency certification: CCN 459081
- Legal name
- STAR CARE HOME HEALTH LLC
- Doing business as
- STAR CARE HOME HEALTH, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 8, 1997
- Last certification
- Nov 5, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 620 N Grant Ave
Suite 100
Odessa, TX 79761-4564
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Star Care Home Health
- Home Health Agency
- Hobbs, NM
- NPI 1578785184
3870484660
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Star Care Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 8, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0921963 | Star Care Home Health | Certificate of waiver | Nov 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Star Care Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Silver Star Holdco, LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 100% |
| Nancy Gutierrez | W-2 Managing Employee | Dec 31, 2024 | |
| Tygon Peak Capital Management II LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 100% |
| Star Residential Care LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 100% |
| Ralph Phillips | 5% Or Greater Indirect Ownership Interest | Apr 27, 2025 | 41.18% |
| Corporate Officer | Apr 27, 2025 | 41.18% | |
| Egor Bulavintsev | 5% Or Greater Indirect Ownership Interest | Apr 27, 2025 | 58.82% |
| Corporate Officer | Apr 27, 2025 | 58.82% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Star Care Home Health | Home health agency | General Partnership Interest (100%) Operational/Managerial Control (100%) |
Jan 7, 1997 Jul 7, 1997 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Star Care Home Health
- Home Health Agency
- Hobbs, NM
- NPI 1578785184
General Partnership Interest, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Star Hospice
- Community Based Hospice Care Agency
- Odessa, TX
- NPI 1417179292
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
-
dba Star Care Home Health
- Home Health Agency
- Hobbs, NM
- NPI 1578785184
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
-
dba Star Hospice
- Community Based Hospice Care Agency
- Hobbs, NM
- NPI 1376765164
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lovington, NM
- NPI 1003852252
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1922193085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N GRANT AVE STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614564",
"telephone_number": "432-580-7707",
"fax_number": "432-580-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N GRANT AVE STE 100",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614564",
"telephone_number": "432-580-7707",
"fax_number": "432-580-7937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR CARE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "RUBIO",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
"authorized_official_telephone_number": "432-580-7707"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "004878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024210901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Care Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Star Care Home Health, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.