Organization
NORTHSTAR HOMECARE LLC
Active
Other names
NorthStar HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA RAE BROWN (CO-OWNER)
(602) 459-4573
Entity
Organization
Contact information
Practice address
5239 S 33RD DR, PHOENIX, AZ 85041-7411
(602) 459-4753
(602) 445-9323
Mailing address
5239 S 33RD DR, PHOENIX, AZ 85041-7411
(602) 459-4573
(602) 445-9323
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008352
—
AZ
Enumeration date
07/01/2020
Last updated
09/30/2020
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