Organization · NPI-2
Blue Star Home Care Services LLC.
In Home Supportive Care · Gastonia, NC
NPI number1245060904
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1245060904
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Star Home Care Services LLC.
- Organization subpart
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 385H00000X | Respite Care | – | – | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
219 W Main Ave8
Gastonia, NC 28052
Phone 704-692-9179 · Fax 704-215-5257
Mailing address
219 W Main Ave Ste 8Gastonia, NC 28052-4140
Phone 704-215-5771 · Fax 704-215-5257
Authorized official
Kia E Lynch
Owner
7042155771
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