STARLIGHT HEALTH SERVICES LLC (NPI# 1154581858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154581858 |
| Entity Type | Organization |
| Organization Name | STARLIGHT HEALTH SERVICES LLC |
| Practice Address |
12656 Heming Ln Bowie MD 20716-1119 |
| Mailing Address |
12656 Heming Lane Bowie MD 20716 |
| Practice Telephone | 2407820094 |
| Mailing Telephone | 2407820094 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. DANIEL ZINKENG ASONGANYI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2407820094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | FILLING NUMBER | 1000361996307827 | 01 |
| MD | WORK ORDER NUMBER | 0001565399 | 01 |
| MD | COSTUMER ID | 0002122361 | 01 |
| MD | DEPARTMENT ID | W12497004 | 01 |
| Street Address |
12656 HEMING LN |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024901 | Agnes Khumbah | Home Health Aide | 12656 Heming Ln, Bowie, MD 20716-1119 | 2017-03-21 |
| 1538446489 | Standard Healthcare Services, LLC | Registered Nurse | 12656 Heming Ln, Bowie, MD 20716-1119 | 2011-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700321957 | Jacobs Promise | Exclusive Provider Organization | 15480 Annapolis Rd Ste 202, Bowie, MD 20715-1803 | 2016-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1619521333 | Kelly Vahey LLC | Exclusive Provider Organization | 11350 Mccormick Rd # Ll10, Hunt Valley, MD 21031-1002 | 2019-07-31 |
| 1104226653 | Skp Family Dental | Exclusive Provider Organization | 7525 Greenway Center Dr Ste 310, Greenbelt, MD 20770-3525 | 2014-09-02 |
| 1083022974 | Professional Sportscare and Rehab | Exclusive Provider Organization | 203 Grindall St, Baltimore, MD 21230-4103 | 2014-07-24 |
| 1720402415 | Darma Inc | Exclusive Provider Organization | 12921 Dunkirk Dr, Upper Marlboro, MD 20772-9303 | 2014-02-14 |
| 1477983468 | Life Spring Counseling and Consultation Services LLC | Exclusive Provider Organization | 6490 Landover Rd Ste I, Cheverly, MD 20785-1443 | 2013-11-12 |
| 1366874570 | Matthew Patrick Momoh | Exclusive Provider Organization | 216 Prenton St, Upper Marlboro, MD 20774-1534 | 2013-07-30 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1629396809 | Mentoring The Future Inc | Exclusive Provider Organization | 1816 Graybird Ct, Severn, MD 21144-3130 | 2010-05-12 |
| 1629392550 | Jay Stephen Margolis Md Pa | Exclusive Provider Organization | 8502 Topping Rd, Baltimore, MD 21208-1610 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
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| 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.