Provider Demographics
NPI:1194168740
Name:ALL STAR HOME CARE L.L.C
Entity type:Organization
Organization Name:ALL STAR HOME CARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TARABI
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-217-9483
Mailing Address - Street 1:6960 MADISON AVE W
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-3627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6960 MADISON AVE W
Practice Address - Street 2:SUITE 105
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-3627
Practice Address - Country:US
Practice Address - Phone:952-217-9483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-14
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health