Organization Active NPI

Star Care Home Health, LLC

Doing business as Star Care Home Health

  • Home Health Agency
  • Odessa, TX
National Provider Identifier
1922193085
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004878 Issued in TX
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
024210901MedicaidTX

Other names 2

  • Star Care Home Health Doing business as
  • Star Care Home Health, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Care Home Health, LLCCCN 459081 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jan 8, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0921963Star Care Home Health620 North Grant Suite 100, Odessa, TX 79761Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Star Care Home Health LLC2 organizations share this tax ID, including this one

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.

NameRoleSinceShare
Silver Star Holdco, LLC Organization, New York, NY Created for acquisition, Holding company 5% Or Greater Indirect Ownership Interest Dec 31, 2024 100%
Nancy Gutierrez Individual W-2 Managing EmployeeAd;General Manager Dec 31, 2024
Tygon Peak Capital Management II LLC Organization, New York, NY Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2024 100%
Star Residential Care LLC Organization, Odessa, TX Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Ralph Phillips Individual 5% Or Greater Indirect Ownership InterestVice President/Secretary Apr 27, 2025 41.18%
Corporate OfficerVice President/Secretary Apr 27, 2025 41.18%
Egor Bulavintsev Individual 5% Or Greater Indirect Ownership InterestPresident/Authorized Official Apr 27, 2025 58.82%
Corporate OfficerPresident/Authorized Official 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.

FacilityTypeRoleSince
Star Care Home HealthHobbs, NM, CCN 327189 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.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Verify at the official NPI Registry.