Mira Star Enterprises Llc

LBN: Mira Star Enterprises Llc
Mira Star Enterprises Llc is an health care organization with primary practice located at 3404 Manchester Way Dr , Westerville OH 43081-8877. The organization recently has 4 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Nursing Care is the primary health care specialty. Mira Star Enterprises Llc can be contacted via phone (614) 772-4391, or through Moro, Fati via phone (614) 772-4391.

Contact Information

Primary practice address
3404 Manchester Way Dr Westerville OH 43081-8877
Phone: (614) 772-4391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moro, Fati BSN
Phone: (614) 772-4391

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1912502477
LBN Legal business name Mira Star Enterprises Llc
DBA Doing business as
Authorized official Moro, Fati BSN
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2020
Last updated Dec 2nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912502477 NPPES
Ohio MEDICAID 0379003

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