# ALL STAR IN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073960316
- **Authorized official:** MR. FAZEEL AHMED CEO (CEO AND PRESIDENT)
- **Authorized official phone:** (314) 609-9029

## Contact information

- **Practice address:** 514 BROOK MEADOW DR, BALLWIN, MO 63021-3711
- **Practice address phone:** (314) 609-9029
- **Mailing address:** 514 BROOK MEADOW DR, BALLWIN, MO 63021-3711
- **Mailing address phone:** (314) 609-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | LC1383420 | MO | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016