Provider Demographics
NPI:1972240315
Name:DAYSTAR HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:DAYSTAR HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-245-0740
Mailing Address - Street 1:3446 SNELLING AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2638
Mailing Address - Country:US
Mailing Address - Phone:612-245-0740
Mailing Address - Fax:612-333-1581
Practice Address - Street 1:3446 SNELLING AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2638
Practice Address - Country:US
Practice Address - Phone:612-245-0740
Practice Address - Fax:612-333-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health