MEDISTAR PROVIDER SERVICES, INC. (NPI# 1578814547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578814547 |
| Entity Type | Organization |
| Organization Name | MEDISTAR PROVIDER SERVICES, INC. |
| Practice Address |
16523 Dawncrest Way Sugar Land TX 77498 |
| Practice Telephone | 7134897766 |
| Practice Fax Number | 7134893949 |
| Mailing Telephone | 7134897766 |
| Mailing Fax Number | 7134893949 |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | JUSTIN K. CHANDLER (ADMINISTRATOR) |
| Authorized Official Telephone | 7134897766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
16523 DAWNCREST WAY |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282511 | Mughni Dental, Pllc | Clinic/Center | 10134 South Texas Highway 6, Sugarland, TX 77498 | 2020-07-07 |
| 1841836350 | Robyn Fussel | Technician | 510 Ulrich St., Sugar Land, TX 77498 | 2019-11-19 |
| 1609337856 | Benjamin Logan Miller | Counselor | 910 Poydras Street, Sugar Land, TX 77498 | 2019-03-29 |
| 1447740170 | Comfort Care Services Inc. | Assisted Living Facility | 15006 Brookwood Bridge Lane, Sugar Land, TX 77498 | 2018-05-17 |
| 1982131645 | Thong Xuan Tran | Student in an Organized Health Care Education/Training Program | 1843 New Village Lane, Sugar Land, TX 77498 | 2017-05-12 |
| 1780119602 | Taranesha Petty | Social Worker | 17022 Blue Mist Circle, Sugarland, TX 77498 | 2017-04-28 |
| 1841738846 | Apex Dialysis and Pharmacy LLC | Pharmacy | 6514 Hwy 90a, Suite 103, Sugar Land, TX 77498 | 2017-02-09 |
| 1689119323 | Apex Dialysis Center | Clinic/Center | 6514 Highway 90 A, Suite 103, Sugar Land, TX 77498 | 2017-01-05 |
| 1922469329 | Imrana Ismail Momin | Optometrist | 14327 Manorbier Ln, Sugar Land, TX 77498 | 2016-03-11 |
| 1053795567 | Muhammad Mughni | Dentist | 10134 S Texas 6, Sugar Land, TX 77498 | 2015-07-14 |
| Find all providers in zip 77498 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591013 | The Health Cove Inc | Technician | 12808 W Airport Blvd Ste 270p, Sugar Land, TX 77478-6240 | 2020-06-01 |
| 1801400163 | Dwellcare Attendant Services, LLC | Technician | 3 Sugar Creek Center Blvd Ste 100, Sugar Land, TX 77478-2211 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841301 | D&z Primary Home Care, LLC. | Technician | 2808 E Pauline Ln, Edinburg, TX 78542-2101 | 2020-11-05 |
| 1194326355 | Emma O. Franco | Technician | 708 3rd Street, Ozona, TX 76943 | 2020-11-04 |
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1467050484 | Lrv Group | Technician | 1905 S Arden St, Harlingen, TX 78552-7461 | 2020-10-12 |
| 1902403645 | Jireh Healthcare Services LLC. | Technician | 3000 N Mccoll Rd Ste 6, Mcallen, TX 78501-1476 | 2020-10-06 |
| 1285231399 | Texas Primary Home Care LLC | Technician | 701 Hidden Trce, Weslaco, TX 78599-4054 | 2020-10-02 |
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77498 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.