STARLIGHT MEDICAL LLC (NPI# 1285938357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285938357 |
| Entity Type | Organization |
| Organization Name | STARLIGHT MEDICAL LLC |
| Other Organization Name | STARLIGHT TRANSPORTATION SERVICES |
| Practice Address |
1909 Grenache Ln Nw Kennesaw GA 30152-6770 |
| Practice Telephone | 7707577771 |
| Mailing Telephone | 7707577771 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | GUSTAVO ALEJANDRO CASTANO (CEO) |
| Authorized Official Telephone | 7707577771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Starlight Transportation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818842 | Starlight Medical LLC | Internal Medicine | 5584 Kirkwood Hwy, Orchard Commons, Wilmington, DE 19808-5002 | 2006-04-03 |
| Street Address |
1909 GRENACHE LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790066256 | Gustavo Alejandro Castano | Interpreter | 1909 Grenache Ln Nw, Kennesaw, GA 30152-6770 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568966026 | Support Group Development Consulting Services LLC | Non-emergency Medical Transport (VAN) | 376 Darter Pt Nw, Kennesaw, GA 30144-2310 | 2018-03-20 |
| 1629412655 | Syncere Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3780 Towne Xing Nw, Suite 518, Kennesaw, GA 30144-6692 | 2013-04-21 |
| 1386992501 | Arch Way Housing Program, Inc. | Non-emergency Medical Transport (VAN) | 2402 Owens Landing Way Nw, Kennesaw, GA 30152-6551 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1114525144 | Trinity Nemt LLC | Non-emergency Medical Transport (VAN) | 1546 Scott Rd, Eastanollee, GA 30538-3374 | 2020-10-12 |
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1306443775 | Hrj Essentials, LLC | Non-emergency Medical Transport (VAN) | 2690 Cobb Pkwy Se Ste A5-598, Smyrna, GA 30080-3001 | 2020-10-07 |
| 1801401955 | Dexter T Myrick | Non-emergency Medical Transport (VAN) | 158 Hopewell Church Rd Nw, Milledgeville, GA 31061-9743 | 2020-09-14 |
| 1417562190 | Alpine Transportation | Non-emergency Medical Transport (VAN) | 3009 Rainbow Dr Ste 139i, Decatur, GA 30034-1879 | 2020-09-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1104448950 | Latarsha Moneek White | Non-emergency Medical Transport (VAN) | 3611 Cromwell Dr, Hephzibah, GA 30815-6210 | 2020-05-15 |
| 1477175495 | Cpt Services LLC | Non-emergency Medical Transport (VAN) | 5628 Rice Ct, Ellenwood, GA 30294-3879 | 2020-05-13 |
| 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.