Organization Active NPI

Starlight Home Services

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1083425094
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
STARLIGHT HOME SERVICES
Doing business as
Starlight Home Services
Practice address
4301 Thomas Ave N
Minneapolis, MN 55412-1005
Phone
(612) 518-4769
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Sia Dean, RN
Title
Ceo
Phone
(612) 463-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

4301 Thomas Ave N
Minneapolis, MN 55412-1005

Mailing address

4301 Thomas Ave N
Minneapolis, MN 55412-1005
Phone (612) 463-8833

Other practice location 1

4301 Thomas Ave N
Minneapolis, MN 55412-1005
Phone (512) 518-4769

Other names 1

  • Starlight Home Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1083425094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 THOMAS AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121005",
            "telephone_number": "612-463-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 THOMAS AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121005",
            "telephone_number": "612-518-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Thomas Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121005",
            "country_code": "US",
            "telephone_number": "512-518-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARLIGHT HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-463-8833",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.