Stellar Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

56-R-1481 Issued in GA

Legal business name

STELLAR HEALTHCARE SERVICES LLC

Practice address

288 Highway 314 Ste B
Fayetteville, GA 30214-7830

Phone

(770) 719-3151

Fax

(770) 719-3153

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Davies

Title

Ceo

Phone

(678) 761-3330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992214498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 314 STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147830",
            "telephone_number": "770-719-3151",
            "fax_number": "770-719-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 314 STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147830",
            "telephone_number": "770-719-3151",
            "fax_number": "770-719-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-761-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "56-R-1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.