STARLIGHT ASSISTED LIVING (NPI# 1053801712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053801712 |
| Entity Type | Organization |
| Organization Name | STARLIGHT ASSISTED LIVING |
| Other Organization Name | SECURITY ALTERNATIVE CARE |
| Practice Address |
68 Security Blvd Colorado Springs CO 80911-1929 |
| Mailing Address |
19053 E 51st Ave Denver CO 80249-8433 |
| Practice Telephone | 7193904721 |
| Practice Fax Number | 7193904721 |
| Mailing Telephone | 7204097130 |
| Mailing Fax Number | 7193904721 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | JIM GULTOM (PRESIDENT) |
| Authorized Official Telephone | 7204097130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 230550 | CO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Security Alternative Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Starlight Assisted Living | 19053 E 51st Ave, Denver, CO 80249 |
| Colorado Business Entities | Starlight Assisted Living, LLC | 6550 S Addison Way, Aurora, CO 80016 |
| Street Address |
68 SECURITY BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80911-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759208 | Jeremy Jorge Madrid Jr. | Specialist/Technologist | 7465 Dove Ceek Circle, Colorado Springs, CO 80911 | 2018-11-14 |
| 1033403472 | Ruth Schroeter Tate | Pharmacist | 6925 Fountain Mesa Rd, Fountain, CO 80911 | 2011-06-02 |
| 1053654319 | Center Pointe Family Medicine LLC | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911 | 2013-04-04 |
| 1194034314 | Ammon Jacobson | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911 | 2010-10-05 |
| 1801035639 | Catherine Jane Bottorff | Physical Therapist | 328 Main Street, Colorado Springs, CO 80911 | 2009-02-18 |
| 1649248014 | Department of The Army Usa Meddac/evans Army Community Hospital | Clinic/Center | Usa Meddac/evans Army Community Hospital, Ob/gyn Clinic 1650 Cochrane Cir, Ft Carson, CO 80911 | 2006-03-10 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1114069812 | John C Bahrenburg | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| 1174180103 | Peak Performance Ltd | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2019-05-24 |
| 1871636951 | Holly M Leslie | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-15 |
| Find all providers in zip 80911 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323374 | A Robins Nest of Cheyenne Mtn. Inc. | Assisted Living Facility | 3182 Oak Creek Dr E, Colorado Springs, CO 80906-4548 | 2020-03-30 |
| 1336782168 | Braincare LLC | Assisted Living Facility | 2535 Brady Dr., Colorado Springs, CO 80917-4020 | 2019-10-24 |
| 1811455371 | Aurora Residential Alternatives, Inc | Assisted Living Facility | 2137 Lander Cir, Colorado Springs, CO 80909-1564 | 2019-03-04 |
| 1427513076 | Constant Care of Colorado Springs, Inc | Assisted Living Facility | 8320 Sutterfield Dr, Colorado Springs, CO 80920-6206 | 2019-02-07 |
| 1871078907 | Nicoll Holdings, LLC | Assisted Living Facility | 2204 Oakridge Ln, Colorado Springs, CO 80915-1017 | 2018-09-25 |
| 1427534627 | Hubbard Property Management Dba Gentle Care House | Assisted Living Facility | 1333 Darby St, Colorado Springs, CO 80907-3704 | 2018-07-11 |
| 1679089197 | Assisted Living At Spring, LLC | Assisted Living Facility | 1605 Jet Wing Dr, Colorado Springs, CO 80916-2258 | 2017-12-20 |
| 1427569409 | Home Care LLC | Assisted Living Facility | 2501 Bennett Ave, Colorado Springs, CO 80909-1209 | 2017-10-18 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1487183703 | Solange Highland Park | Assisted Living Facility | 2107 Princeton Way, Colorado Springs, CO 80909-2043 | 2017-06-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80911 |
Please comment or provide details below to improve the information on STARLIGHT ASSISTED LIVING.
| 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.