Organization Active NPI

Star Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Pennsauken, NJ
National Provider Identifier
1053058016
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on May 19, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.