Provider Demographics
NPI:1386427086
Name:HOMESTAR SENIOR SERVICES LLC
Entity type:Organization
Organization Name:HOMESTAR SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:GABOR
Authorized Official - Last Name:KISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-402-6311
Mailing Address - Street 1:177 N US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2746
Mailing Address - Country:US
Mailing Address - Phone:561-402-6311
Mailing Address - Fax:
Practice Address - Street 1:177 N US HIGHWAY 1
Practice Address - Street 2:271
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2746
Practice Address - Country:US
Practice Address - Phone:561-402-6311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies