Provider Demographics
NPI:1275354821
Name:SILVER STAR CARE CORP
Entity type:Organization
Organization Name:SILVER STAR CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YONGXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-528-8908
Mailing Address - Street 1:13226 AVERY AVE STE C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4954
Mailing Address - Country:US
Mailing Address - Phone:917-528-8908
Mailing Address - Fax:718-228-6226
Practice Address - Street 1:13226 AVERY AVE STE C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4954
Practice Address - Country:US
Practice Address - Phone:917-528-8908
Practice Address - Fax:718-228-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care