# PRIMESTAR HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haworth Home Health, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386647659
- **Authorized official:** MRS. TIFFANY A CASTLEMAN RN, HCS-C (ADMINISTRATOR)
- **Authorized official phone:** (318) 259-1410

## Contact information

- **Practice address:** 1008 JULIA ST, RAYVILLE, LA 71269
- **Practice address phone:** (318) 329-8292
- **Practice address fax:** (318) 490-4364
- **Mailing address:** 235 DESIARD ST., MONROE, LA 71201
- **Mailing address phone:** (318) 329-8292
- **Mailing address fax:** (318) 490-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 390 | LA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 07/14/2020