NPIMap

Organization Active NPI

Star Light Healthcare Services, LLC

  • Home Health Agency
  • Montrose, CO
National Provider Identifier
1124692041
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAR LIGHT HEALTHCARE SERVICES, LLC
Practice address
1404 Hawk Pkwy Unit 103
Montrose, CO 81401-6470
Phone
(970) 414-1650
Fax
(970) 650-4237
NPI assigned
May 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Kitty M Vradenburg
Title
Executive Director
Phone
(970) 414-1650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1404 Hawk Pkwy Unit 103
Montrose, CO 81401-6470

Mailing address

1404 Hawk Pkwy Unit 103
Montrose, CO 81401-6470
Phone (970) 414-1650

Other names 1

  • Star Light Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211005000272 CO Part A Provider - Home Health Agency 7719385855 Practice locations: Montrose, CO

Home health agency certification: CCN 067622

Legal name
STAR LIGHT HEALTHCARE SERVICES LLC
Doing business as
STAR LIGHT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 2, 2022
Last certification
Jul 8, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 24, 2021 in CO
Enrollment address
122 S Park Ave
Montrose, CO 81401-3950

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Light Home HealthCCN 067622
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Judith K Devincentis Individual 5% Or Greater Direct Ownership Interest Feb 24, 2021 51%
Corporate OfficerPresident, Treasurer, Board Memb Feb 24, 2021
Corporate DirectorPresident, Treasurer, Board Memb Feb 24, 2021
W-2 Managing EmployeePresident, Treasurer, Board Memb Feb 24, 2021
Kitty Vradenburg Individual 5% Or Greater Direct Ownership Interest Feb 24, 2021 49%
Corporate OfficerVP, Secretary, Board Member, Own Feb 24, 2021
Corporate DirectorVP, Secretary, Board Member, Own Feb 24, 2021
W-2 Managing EmployeeVP, Secretary, Board Member, Own Feb 24, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1124692041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HAWK PKWY UNIT 103",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016470",
            "telephone_number": "970-414-1650",
            "fax_number": "970-650-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 HAWK PKWY UNIT 103",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016470",
            "telephone_number": "970-414-1650",
            "fax_number": "970-650-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR LIGHT HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "VRADENBURG",
        "authorized_official_first_name": "KITTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-414-1650"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Light Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Light Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.