Earthly Stars, Llc

LBN: Earthly Stars, Llc
Earthly Stars, Llc is an health care organization with primary practice located at 9616 Watershed Dr E , Jacksonville FL 32220-0905. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Earthly Stars, Llc can be contacted via phone (904) 472-5355, or through Mosley, Tiffany via phone (904) 472-5355.

Contact Information

Primary practice address
9616 Watershed Dr E Jacksonville FL 32220-0905
Phone: (904) 472-5355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mosley, Tiffany
Phone: (904) 472-5355

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1861976003
LBN Legal business name Earthly Stars, Llc
DBA Doing business as
Authorized official Mosley, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2018
Last updated Oct 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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