Organization
ALL STAR HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIBA MATHUR (PRESIDENT/ADMINISTRATOR)
(469) 361-3656
Entity
Organization
Contact information
Practice address
5916 NEWGATE LN, PLANO, TX 75093-4342
(469) 361-3656
(214) 432-4230
Mailing address
5916 NEWGATE LN, PLANO, TX 75093-4342
(469) 361-3656
(214) 432-4230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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