Organization Active NPI

Senior Star Tenant Dublin Care, LLC

  • Assisted Living Facility
  • Dublin, OH
National Provider Identifier
1164210696
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR STAR TENANT DUBLIN CARE, LLC
Practice address
6480 Post Rd
Dublin, OH 43016-1682
Phone
(614) 389-0308
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Shadoworee Betts
Title
Chief Operating Officer
Phone
(918) 592-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6480 Post Rd
Dublin, OH 43016-1682

Mailing address

1516 S Boston Ave Ste 301
Tulsa, OK 74119-4019
Phone (918) 592-4400

Other names 1

  • Dublin Assisted Living & Memory Support by Senior Star Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2232302Dublin Assisted Living and Memory Care6480 Post Rd, Dublin, OH 43016Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1164210696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194019",
            "telephone_number": "918-592-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161682",
            "telephone_number": "614-389-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR STAR TENANT DUBLIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "SHADOWOREE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "918-592-4400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dublin Assisted Living & Memory Support by Senior Star",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.