Lifestar Case Management Services, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LIFESTAR CASE MANAGEMENT SERVICES, INC

Practice address

3414 W 84TH St Ste D110
Hialeah, FL 33018-4932

Phone

(305) 825-4320

Fax

(305) 825-8117

NPI assigned

May 25, 2011

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jenny A Bernal, RMHINPI 1568563849

Title

Owner

Phone

(786) 303-5079

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny A Bernal, FMD

  • Social Worker
  • Hialeah, FL
  • NPI 1568563849
  NPD Authorized official
• Diana Marin

  • Case Manager/Care Coordinator
  • Hialeah, FL
  • NPI 1720642291
  NPD
• Silvia Isabel Silva Duluc, M.D.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1548291834
  NPD

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1174816920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W 84TH ST STE D110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184932",
            "telephone_number": "305-825-4320",
            "fax_number": "305-825-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W 84TH ST STE D110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184932",
            "telephone_number": "305-825-4320",
            "fax_number": "305-825-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR CASE MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-303-5079",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMHI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004252300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lifemark Hospitals of Florida, Inc. (Palmetto General Hospital)
• Lifestar Mental Wellness Center Inc, CMHC
• Lifestyle Med Supply LLC
• Lifetime Transportation LLC
• Lighthouse ABA Services Inc
• Lighting Star Services LLC

• Case Management Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.