Organization
NURSTAR HOME HEALTH SERVICES LLC
Active
Other names
NurStar Home Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN T JOSEPH RN (MANAGER/ADMINISTRATOR/DIRECTOR)
(941) 448-8105
Entity
Organization
Contact information
Practice address
921 E PARKER ST STE 4, LAKELAND, FL 33801-1901
(941) 448-8105
Mailing address
921 E PARKER ST STE 4, LAKELAND, FL 33801-1901
(941) 448-8105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/07/2020
Last updated
03/25/2021
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