Provider Demographics
NPI:1851116552
Name:HILLSTAR HOME CARE LLC
Entity type:Organization
Organization Name:HILLSTAR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-417-0357
Mailing Address - Street 1:7110 OAKLAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1870
Mailing Address - Country:US
Mailing Address - Phone:314-417-0357
Mailing Address - Fax:314-417-0422
Practice Address - Street 1:7110 OAKLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1870
Practice Address - Country:US
Practice Address - Phone:314-417-0357
Practice Address - Fax:314-417-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care