Provider Demographics
NPI:1174612139
Name:NEW STAR REALTY, INC.
Entity type:Organization
Organization Name:NEW STAR REALTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:OMOLOJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-642-0181
Mailing Address - Street 1:2307 OAK LANE
Mailing Address - Street 2:SUITE #116
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4886
Mailing Address - Country:US
Mailing Address - Phone:972-642-0181
Mailing Address - Fax:972-642-1211
Practice Address - Street 1:2307 OAK LANE
Practice Address - Street 2:SUITE #116
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4886
Practice Address - Country:US
Practice Address - Phone:972-642-0181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009454251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009454Medicaid
457911Medicare Oscar/Certification