Provider Demographics
NPI:1720345978
Name:MARIE STAR HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MARIE STAR HOME HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEJAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTECHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-547-7296
Mailing Address - Street 1:2333 SAN RAMON VALLEY BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1763
Mailing Address - Country:US
Mailing Address - Phone:925-691-4981
Mailing Address - Fax:925-691-4929
Practice Address - Street 1:2333 SAN RAMON VALLEY BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1763
Practice Address - Country:US
Practice Address - Phone:925-691-4981
Practice Address - Fax:925-691-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health