Provider Demographics
NPI:1245835727
Name:NEW STAR HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:NEW STAR HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY YVENIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GERTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-774-5985
Mailing Address - Street 1:8461 LAKE WORTH RD STE 172
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2474
Mailing Address - Country:US
Mailing Address - Phone:561-774-5985
Mailing Address - Fax:561-248-9636
Practice Address - Street 1:8461 LAKE WORTH RD STE 172
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-774-5985
Practice Address - Fax:561-248-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care