Active NPI
Star Adult Day Care LLC
- Adult Day Care Clinic/Center
- Pennsauken, NJ
National Provider Identifier
1053058016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- STAR ADULT DAY CARE LLC
- Practice address
- 7999 N Route 130
Pennsauken, NJ 08110-1402 - Phone
- (856) 287-7954
- NPI assigned
- May 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Dugger, CALA
- Title
- Administaror
- Phone
- (856) 287-7954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
7999 N Route 130
Pennsauken, NJ 08110-1402
Mailing address
118 Carasaljo Dr
Lakewood, NJ 08701-2310
Phone (856) 287-7954
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1053058016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CARASALJO DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012310",
"telephone_number": "856-287-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7999 N ROUTE 130",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081101402",
"telephone_number": "856-287-7954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR ADULT DAY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A",
"authorized_official_last_name": "DUGGER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTAROR",
"authorized_official_telephone_number": "856-287-7954",
"authorized_official_credential": "CALA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennsauken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.