Organization
HEALTHSTAR HOMECARE SERVICES LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JOSEPH VANSCIVER RESPIRATORY THERAPIS (VICE PRESIDENT HEALTHSTAR HOMECARE)
(720) 851-7028
Entity
Organization
Contact information
Practice address
10234 PROGRESS LN, PARKER, CO 80134-4044
(303) 991-5883
(720) 528-8105
Mailing address
10234 PROGRESS LN, PARKER, CO 80134-4044
(720) 851-7028
(720) 528-8105
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
4203
CO
332BC3200X
Customized Equipment (DME)
42168910000
CO
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1165
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407312
CIGNA
CO
05
—
86959816
—
CO
01
—
882060000
BCBS
CO
Enumeration date
09/08/2006
Last updated
11/13/2008
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