Organization Active NPI

Star of Life Home Care Inc

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1992732531
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010364 Issued in TX
Legal business name
STAR OF LIFE HOME CARE INC
Practice address
2919 Springfield Ave
Laredo, TX 78040
Phone
(956) 568-0111
Fax
(956) 753-0112
NPI assigned
Jun 27, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Mrs. Claudia S Hourigan, R.N.NPI 1770252207
Title
Director of Nursing / Administrator
Phone
(956) 568-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010364 TX Primary
Personal Care Attendant 3747P1801X 010364 TX

Addresses

Primary practice location

2919 Springfield Ave
Laredo, TX 78040

Mailing address

2919 Springfield Ave
Laredo, TX 78040-2634
Phone (956) 568-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060506000009 TX Part A Provider - Home Health Agency 4587675483 Practice locations: Laredo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992732531. Details of each certification follow.

Home health agency certification: CCN 679661

Legal name
STAR OF LIFE HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2007
Last certification
Jan 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 17, 2006 in TX
Enrollment address
2919 Springfield Ave
Laredo, TX 78040-2634

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star of Life Home CareCCN 679661 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 15, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2919 Springfield Ave
Laredo, TX 78040
Phone (956) 568-0111

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
Claudia Hourigan Individual 5% Or Greater Direct Ownership Interest Jan 17, 2006 100%
5% Or Greater Mortgage InterestCeo Jan 7, 2006 100%
5% Or Greater Security InterestCeo Jan 7, 2006 100%
Corporate OfficerCeo President Secretary Jan 17, 2006 100%
Corporate DirectorCeo President Secretary Don Jan 17, 2006 100%
W-2 Managing EmployeeCeo Pres Sec Don Jan 17, 2006 100%
Operational/Managerial ControlCeo/President Sec Don Jan 17, 2006 100%
John Hourigan Individual Corporate OfficerVice President Jan 7, 2006 100%
Corporate Director May 6, 2006
W-2 Managing Employee Jan 17, 2006
Operational/Managerial ControlVice President Jan 7, 2006 100%
Mario Flores Individual W-2 Managing Employee May 20, 2022

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 1

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1992732531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780402634",
            "telephone_number": "956-568-0111",
            "fax_number": "956-753-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78040",
            "telephone_number": "956-568-0111",
            "fax_number": "956-753-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OF LIFE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "HOURIGAN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING / ADMINISTRATOR",
        "authorized_official_telephone_number": "956-568-0111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010364",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "010364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.