Provider Demographics
NPI:1740150945
Name:STAR IN HOME CARE LLC
Entity type:Organization
Organization Name:STAR IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLARISE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-563-5281
Mailing Address - Street 1:16 MARCHWOOD CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-3704
Mailing Address - Country:US
Mailing Address - Phone:501-563-5281
Mailing Address - Fax:501-762-8068
Practice Address - Street 1:155 E MARKET ST FL 7
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-3294
Practice Address - Country:US
Practice Address - Phone:501-563-5281
Practice Address - Fax:501-762-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty