Provider Demographics
NPI:1285962506
Name:CARING STAR HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:CARING STAR HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRIZAK
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:BULSHALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-707-6988
Mailing Address - Street 1:2213 ALBERT AVE
Mailing Address - Street 2:APT 2C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3866
Mailing Address - Country:US
Mailing Address - Phone:614-707-6988
Mailing Address - Fax:
Practice Address - Street 1:2213 ALBERT AVE
Practice Address - Street 2:APT 2C
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3866
Practice Address - Country:US
Practice Address - Phone:614-707-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1892096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health