STAR CENTER, INC. (NPI# 1588738157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588738157 |
| Entity Type | Organization |
| Organization Name | STAR CENTER, INC. |
| Other Organization Name | WEST TENNESSEE SPECIAL TECHNOLOGY ACCESS RESOURCE CENTER |
| Practice Address |
1119 Old Humboldt Rd Jackson TN 38305-1752 |
| Practice Telephone | 7316683888 |
| Practice Fax Number | 7316681666 |
| Mailing Telephone | 7316683888 |
| Mailing Fax Number | 7316681666 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | MR. DAVE BRATCHER (PRESIDENT) |
| Authorized Official Telephone | 7316683888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
NO LICENSE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Tennessee Special Technology Access Resource Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154430270 | Star Center, Inc. | Clinic/Center | 13575 Lesure St, Detroit, MI 48227-3131 | 2006-08-30 |
| Street Address |
1119 OLD HUMBOLDT RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083176655 | Anna Lyn Mcdaniel | Behavioral Analyst | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2019-04-03 |
| 1205094422 | Billie Suanne Griffin | Speech-Language Pathologist | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2008-05-23 |
| 1417170291 | Marshetta Shavon Brazley | Music Therapist | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197939 | Healthy You Chiropractic and Rehabilitation Center | Clinic/Center | 411 Briarwood Dr Ste 401, Jackson, MS 39206-3058 | 2017-11-09 |
| 1689776817 | Hands On Therapy Specialists, LLC | Clinic/Center | W227n16861 Tillie Lake Ct, Jackson, WI 53037-9000 | 2006-09-01 |
| 1568018729 | Beyond Measures Rehabilitation LLC | Clinic/Center | 6017 Whitestone Rd, Jackson, MS 39206-2532 | 2019-08-14 |
| 1144604778 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2 Kathleen Dr, C/o Bella Terra, Jackson, NJ 08527-2269 | 2015-07-14 |
| 1881071926 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5025 Ann Arbor Rd, C/o Legacy Assisted Living, Jackson, MI 49201-8801 | 2015-04-28 |
| 1114267986 | Lift Therapy, Inc. | Clinic/Center | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 | 2013-02-15 |
| 1508074238 | Therapy Solutions & Management Inc. | Clinic/Center | 100 Highway 15 S Ste 136, Jackson, KY 41339-8636 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
| 1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
| 1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
| 1205484805 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4572 Poplar Ave, Memphis, TN 38117-7514 | 2019-08-28 |
| 1588228662 | Catalyst Physical Therapy and Performance, LLC | Clinic/Center | 1056 E Trinity Ln # 104, Nashville, TN 37216-3030 | 2019-04-24 |
| 1790247724 | Treehouse Therapy, Pllc | Clinic/Center | 7 Fireside Way, Signal Mountain, TN 37377-2019 | 2019-03-31 |
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1083101448 | Champion Physical Therapy LLC Halls | Clinic/Center | 4307 N Roan St Ste 7, Johnson City, TN 37615-4973 | 2018-04-20 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
| 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.