Starlight Health Services LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

STARLIGHT HEALTH SERVICES LLC

Practice address

12656 Heming LN
Bowie, MD 20716-1119

Phone

(240) 782-0094

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Zinkeng Asonganyi

Title

Chief Executive Officer

Phone

(240) 782-0094

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Starlight Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Starlight Health Services, LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1457618779
  NPD tax ID

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1154581858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 HEMING LANE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "240-782-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 HEMING LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161119",
            "telephone_number": "240-782-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ASONGANYI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ZINKENG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-782-0094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK ORDER NUMBER",
            "identifier": "0001565399",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSTUMER ID",
            "identifier": "0002122361",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FILLING NUMBER",
            "identifier": "1000361996307827",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT ID",
            "identifier": "W12497004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Bowie, MD
• Providers in Bowie, MD by specialty
• Exclusive Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.