# NORTHSTAR HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1770974883
- **Authorized official:** MR. TODD CAIN REA (ADMINISTRATOR)
- **Authorized official phone:** (623) 236-3170

## Contact information

- **Practice address:** 21640 N 19TH AVE STE C12, PHOENIX, AZ 85027-2727
- **Practice address phone:** (623) 236-3170
- **Practice address fax:** (602) 218-7051
- **Mailing address:** 21640 N 19TH AVE STE C12, PHOENIX, AZ 85027-2727
- **Mailing address phone:** (623) 236-3170
- **Mailing address fax:** (602) 218-7051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | AZ | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015