NPIMap

Organization Active NPI

Starfish Family Services Inc.

  • Community/Behavioral Health Agency
  • Inkster, MI
National Provider Identifier
1184865776
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STARFISH FAMILY SERVICES INC.
Doing business as
Lifespan Clinical Services
Practice address
30000 Hiveley St
Inkster, MI 48141-1089
Phone
(248) 615-9730
Fax
(248) 615-1260
NPI assigned
Mar 12, 2009
Organization subpart
Yes
Parent organization
STARFISH FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mrs. Ann Kalass
Title
Cheif Executive Office
Phone
(248) 615-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MI Primary

Addresses

Primary practice location

30000 Hiveley St
Inkster, MI 48141-1089

Mailing address

30000 Hiveley St
Inkster, MI 48141-1089
Phone (248) 615-9730

Other names 1

  • Lifespan Clinical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000720 MI Part B Supplier - Clinic/Group Practice 0143361170 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI; Westland, MI

National Provider Directory

National Provider Directory
Tax ID family
Starfish Family Services Inc5 organizations share this tax ID, including this one
Part of
Starfish Family Services Inc

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1184865776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 HIVELEY ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411089",
            "telephone_number": "248-615-9730",
            "fax_number": "248-615-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 HIVELEY ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411089",
            "telephone_number": "248-615-9730",
            "fax_number": "248-615-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH FAMILY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARFISH FAMILY SERVICES",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "KALASS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "248-615-9730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.