Northstar Homecare LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NORTHSTAR HOMECARE LLC

Doing business as

NorthStar HomeCare

Practice address

5239 S 33Rd Dr
Phoenix, AZ 85041-7411

Phone

(602) 459-4753

Fax

(602) 445-9323

NPI assigned

Jul 1, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carissa Rae Brown

Title

Co-Owner

Phone

(602) 459-4573

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NorthStar HomeCare Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1932726361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 S 33RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417411",
            "telephone_number": "602-459-4573",
            "fax_number": "602-445-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 S 33RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417411",
            "telephone_number": "602-459-4753",
            "fax_number": "602-445-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-459-4573"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008352",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northstarhomecareaz.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5239 S 33rd Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850417411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NorthStar HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.