Organization
BLUE STAR HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENUS MOHAMMAD (CEO)
(818) 772-7600
Entity
Organization
Contact information
Practice address
21731 VENTURA BLVD STE 210, WOODLAND HILLS, CA 91364-5111
(818) 772-7600
(818) 772-2110
Mailing address
21731 VENTURA BLVD STE 210, WOODLAND HILLS, CA 91364-5111
(818) 772-7600
(818) 772-2110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
396420
JCAHO CUSTOMER NUMBER
CA
05
—
HHA08247F
—
CA
Enumeration date
05/11/2006
Last updated
08/24/2023
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