Organization Active NPI

Star Center, Inc.

  • Methadone Clinic
  • Detroit, MI
National Provider Identifier
1154430270
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
821426 Issued in MI
Legal business name
STAR CENTER, INC.
Practice address
13575 Lesure St
Detroit, MI 48227-3131
Phone
(313) 493-4410
Fax
(313) 493-4415
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Rene R. Saenz
Title
Assistant Director
Phone
(313) 493-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 821426 MI Primary

Addresses

Primary practice location

13575 Lesure St
Detroit, MI 48227-3131

Mailing address

13575 Lesure St
Detroit, MI 48227-3131
Phone (313) 493-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070130000580 MI Part B Supplier - Clinic/Group Practice 0840291068 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI
O20200124000807 MI Part B Supplier - Opioid Treatment Program (Otp) 0840291068 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory
Tax ID family
Star Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154430270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "313-493-4410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "821426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.