Organization Active NPI

Health Star Home Care LLC

  • Home Health Agency
  • Bedford, MA
National Provider Identifier
1982099560
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH STAR HOME CARE LLC
Practice address
19B Crosby Dr Ste 160
Bedford, MA 01730-1412
Phone
(781) 457-6112
Fax
(781) 538-4277
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mr. Henry M Githinji, DIRECTOR
Title
Don
Phone
(781) 457-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19B Crosby Dr Ste 160
Bedford, MA 01730-1412

Mailing address

19B Crosby Dr Ste 160
Bedford, MA 01730-1412
Phone (781) 457-6112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623000731 MA Part A Provider - Home Health Agency 6305157025 Practice locations: Bedford, MA

Home health agency certification: CCN 227647

Legal name
HEALTH STAR HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 18, 2016
Last certification
Jan 18, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 23, 2015 in MA
Enrollment address
19B Crosby Dr
Ste 160
Bedford, MA 01730-1412
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Star Home Care LLCCCN 227647 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jan 18, 2016
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
22D2097869Health Star Home Care LLC19B Crosby Drive, Bedford, MA 01730Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

19B Crosby Dr
Ste 160
Bedford, MA 01730
Phone (781) 457-6112

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Henry M Githinji Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 23, 2015 33.33%
Corporate OfficerAdministrator/ Director of Nursing Feb 23, 2015 33.33%
Corporate DirectorVP Administrator Feb 23, 2015 33.33%
David Mundia Individual 5% Or Greater Direct Ownership Interest Feb 23, 2015 33.33%
Corporate OfficerTreasurer/ Alternate Administrat Feb 23, 2015 33.33%
Corporate DirectorTreasurer/ Alternate Administrat Feb 23, 2015 33.33%
W-2 Managing EmployeeTreasurer/ Alternate Administrat Feb 23, 2015 33.33%
Charles N Githinji Individual 5% Or Greater Direct Ownership Interest Feb 23, 2015 33.33%
Corporate OfficerSecretary/Director of Nursing Feb 23, 2015 33.33%
Corporate DirectorSecretary/Director of Nursing Feb 23, 2022 33.33%

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1982099560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19B CROSBY DR STE 160",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301412",
            "telephone_number": "781-457-6112",
            "fax_number": "781-538-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19B CROSBY DR STE 160",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301412",
            "telephone_number": "781-457-6112",
            "fax_number": "781-538-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH STAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "GITHINJI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "781-457-6112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.