# GOLD STAR HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1124486204
- **Authorized official:** MONIQUE BANKS-HALL RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (502) 714-1573

## Contact information

- **Practice address:** 960 E HWY 121 BUSINESS, LEWISVILLE, TX 75057
- **Practice address phone:** (502) 714-1573
- **Mailing address:** 3198 PARKWOOD BLVD, 12100, FRISCO, TX 75034-9514
- **Mailing address phone:** (502) 714-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 36987479 | TX | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 02/04/2016