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STAR ELLEN THEODORE
NPI 1144086083
Technician - Personal Care Attendant in Kenai, AK

Active since February 27, 2024
130 S WILLOW ST STE 9, KENAI, AK 99611(907) 782-8377 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Star Ellen Theodore NPPES

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

STAR ELLEN THEODORE (NPI 1144086083) is an individual personal care attendant in Kenai, Alaska, licensed in Alaska (1712359) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1144086083
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSTAR ELLEN THEODORE
Location Address130 S WILLOW ST STE 9Kenai, AK 99611-9107
Mailing Address130 S Willow St Ste 9Kenai, AK 99611-9107 · (907) 782-8377
Phone(907) 782-8377
Sole ProprietorNo
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1144086083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in AK · 1712359
Definition
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
130 S WILLOW ST STE 9, Kenai, AK 99611
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Other Identifiers 1

Medicaid1712359AK

Other Providers at the Same Location NPPES 20

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

JOLENE M GOUGH
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-0085
TOBIN JAMES GREYWOLF
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377
LISA J BASS
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377
CASSANDRA DELACY LANDRETH-LLOYD
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377
KATELYN D SWENSEN
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377
SARA I GOULD
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377
ALICIA MARIE CASTILLO
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 872-8377
JENNA MAE LEFFELMAN
Technician (Personal Care Attendant)
130 S WILLOW ST STE 9
KENAI, AK 99611
Kenai Peninsula Borough (907) 782-8377

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 Star Theodore's NPI number?

The NPI number for Star Theodore is 1144086083. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Star Theodore located?

Star Theodore practices at 130 S Willow St Ste 9, Kenai, AK 99611. The listed phone number is (907) 782-8377.

What is Star Theodore's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Star Theodore was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.