Provider Demographics
NPI:1124368014
Name:ALL STAR HOME HEALTH CARE GROUP, LLC
Entity type:Organization
Organization Name:ALL STAR HOME HEALTH CARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UBAX
Authorized Official - Middle Name:JAMA
Authorized Official - Last Name:JEYTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-944-1616
Mailing Address - Street 1:7900 SUDLEY RD STE 368
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2886
Mailing Address - Country:US
Mailing Address - Phone:703-944-1616
Mailing Address - Fax:
Practice Address - Street 1:7900 SUDLEY RD STE 302
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2806
Practice Address - Country:US
Practice Address - Phone:703-361-3333
Practice Address - Fax:703-361-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA18935251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health