Star Light Home Health

LBN: Star Light Home Health
Star Light Home Health is an health care organization with primary practice located at 409 N Fredonia St Suite 114, Longview TX 75601-6466. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Star Light Home Health can be contacted via phone (903) 985-6084, or through Wilkes, Wyspher via phone 17034358304.

Contact Information

Primary practice address
409 N Fredonia St Suite 114 Longview TX 75601-6466
Phone: (903) 985-6084
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkes, Wyspher
Phone: 17034358304

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1508036450
LBN Legal business name Star Light Home Health
DBA Doing business as
Authorized official Wilkes, Wyspher
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2008
Last updated Jul 12th, 2011 - about 13 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 1508036450 NPPES
Texas Other 747197 MEDICARE HOME HEALTH PROVIDER NUMBER

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