Starlight Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

230550 Issued in CO

Legal business name

STARLIGHT ASSISTED LIVING

Doing business as

Security Alternative Care

Practice address

68 Security Blvd
Colorado Springs, CO 80911-1929

Phone

(719) 390-4721

Fax

(719) 390-4721

NPI assigned

May 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim Gultom

Title

President

Phone

(720) 409-7130

Specialties & licenses 1

Addresses

Other names 1

• Security Alternative Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1053801712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19053 E 51ST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498433",
            "telephone_number": "720-409-7130",
            "fax_number": "719-390-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SECURITY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111929",
            "telephone_number": "719-390-4721",
            "fax_number": "719-390-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GULTOM",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-409-7130"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Security Alternative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Brooke Starkey, MS LPC
• Lisa M Starkey, PTA, CSCS
• Michael John Starkey, MD
• Laura Leona Starks, DPT
• Solielh Starks
• Starlight Transformative Counseling PLLC
• Angelica Starnes
• Rebecca Starnes
• Brandon Starns
• Alexandria A Starr, OD

• Assisted Living Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.