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HEALTHSTAR MEDICAL SERVICES, INC
NPI 1083790703
Home Health in Dallas, TX

Active since October 27, 2006CLIA 45D1001013 · Waiver
1417 N COCKRELL HILL RD STE 101A, DALLAS, TX 75211(469) 778-0124(469) 778-0118 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Healthstar Medical Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSTAR MEDICAL SERVICES, INC (NPI 1083790703) is a healthcare organization registered as a home health in Dallas, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Eberechi Ure Agbara, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083790703
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHEALTHSTAR MEDICAL SERVICES, INC
Location Address1417 N COCKRELL HILL RD STE 101ADallas, TX 75211-1308
Mailing Address1417 N Cockrell Hill Rd Ste 1o1aDallas, TX 75211-1308 · (469) 778-0124 · Fax (469) 778-0118
Phone(469) 778-0124
Fax(469) 778-0118
Organization SubpartNo
Authorized OfficialEberechi Ure AgbaraAdministrator · (469) 778-0124
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1083790703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in TX · 008015
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1417 N COCKRELL HILL RD STE 101A, Dallas, TX 75211
Open in Google Maps ↗

Other Identifiers 1

Medicaid001012183TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1001013

Healthstar Medical Service, Inc · Dallas, TX
Active · expires Apr 15, 2027
CLIA Number45D1001013
Laboratory TypeHome Health Agency
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorAgbara Eberechi
Laboratory Phone(469) 778-0124
Laboratory LocationHealthstar Medical Service, Inc1417 N Cockrell Hill Rd Suite 106A, Dallas, TX 75211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD4U FAMILY CLINIC DALLAS FORT WORTH DFWPLLC
Nurse Practitioner (Family)
1417 N COCKRELL HILL RD STE 101A
DALLAS, TX 75211
Dallas County (214) 228-5447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthstar Medical Services, Inc's NPI number?

The NPI number for Healthstar Medical Services, Inc is 1083790703. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Healthstar Medical Services, Inc located?

Healthstar Medical Services, Inc is located at 1417 N Cockrell Hill Rd Ste 101A, Dallas, TX 75211. The listed phone number is (469) 778-0124.

What is Healthstar Medical Services, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Healthstar Medical Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1001013) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthstar Medical Services, Inc was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.