Provider Demographics
NPI:1053193318
Name:ALLSTAR PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:ALLSTAR PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKEITHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-539-5290
Mailing Address - Street 1:2235 ALEXANDRA LN
Mailing Address - Street 2:
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002-8083
Mailing Address - Country:US
Mailing Address - Phone:719-491-8173
Mailing Address - Fax:888-503-7522
Practice Address - Street 1:2921 CARLISLE BLVD NE STE 119
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-2864
Practice Address - Country:US
Practice Address - Phone:505-539-5290
Practice Address - Fax:888-503-7522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty