STARDUST APPLICATIONS, LLC


Address: 1860 Kempsville Crossing Ln, Virginia Beach, VA 23464-6935
Phone: 7577526900

STARDUST APPLICATIONS, LLC (NPI# 1932721693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932721693
Entity Type Organization
Organization Name STARDUST APPLICATIONS, LLC
Practice Address 1860 Kempsville Crossing Ln
Virginia Beach
VA 23464-6935
Practice Telephone 7577526900
Enumeration Date 2020-05-15
Last Update Date 2020-05-15
Authorized Official Name MAIZEL QUIVA (CO-OWNER)
Authorized Official Telephone 7577526900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Stardust ABA Doing Business As Name - Organization

Office Location

Street Address 1860 KEMPSVILLE CROSSING LN
City VIRGINIA BEACH
State VA
Zip Code 23464-6935

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1942582036 Oac Management LLC Clinic/Center 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 2011-09-14

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Competitor

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City VIRGINIA BEACH
Zip Code 23464

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Dataset Information

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.

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