Organization · NPI-2

Northstar Homecare

Custodial Care Facility, Adult Care Home · Tempe, AZ

NPI number1083957443
StatusActive
Last updated in NPPESApr 3, 2013

Details

NPI
1083957443
Entity type
Organization (NPI-2)
Legal business name
Northstar Homecare
Organization subpart
No
Enumeration date
Apr 3, 2013
Last updated
Apr 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home565310AZYes

Practice location

750 W Baseline Rd
Tempe, AZ 85283-5903

Phone 480-329-8784

Mailing address

750 W Baseline Rd
Tempe, AZ 85283

Authorized official

Hassan Mohameed Abdelrahman
Owner
4803298784

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