Provider Demographics
NPI:1770454019
Name:STAR BLISS CARE SERVICES LLC
Entity type:Organization
Organization Name:STAR BLISS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EJIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBUOBELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-652-0329
Mailing Address - Street 1:7092 OAK TRACE LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7033
Mailing Address - Country:US
Mailing Address - Phone:317-652-0329
Mailing Address - Fax:
Practice Address - Street 1:7092 OAK TRACE LN
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7033
Practice Address - Country:US
Practice Address - Phone:317-652-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care