Provider Type Icon

BLUE STAR HOMEHEALTH AGENCY INC NPI 1679931901


NPI Information

NPI: 1679931901
Provider Name: BLUE STAR HOMEHEALTH AGENCY, INC

Doing Business As: BLUE STAR HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2210764

Address:
1140 EMPIRE CENTRAL DR STE 630
DALLAS, TX
ZIP 75247
Phone: (972) 408-6409
Get Directions

BLUE STAR HOMEHEALTH AGENCY, INC is a hospice care community based in Dallas, TX. BLUE STAR HOMEHEALTH AGENCY, INC NPI is 1679931901. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Star Hospice.

The provider's business location address is:

1140 EMPIRE CENTRAL DR STE 630
DALLAS, TX
ZIP 75247-393
Phone: (972) 408-6409
Fax: (214) 253-2655

The provider's authorized official is Alero T Okundia .
The authorized official title is Owner and has the following contact phone number (469) 892-4241.

The CLIA number assigned to this NPI record is 45D2210764 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 8/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.