Active NPI
Starlight Startbright Inc
- Substance Abuse Rehabilitation Facility
- Anaheim, CA
National Provider Identifier
1235855008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- STARLIGHT STARTBRIGHT INC
- Practice address
- 1687 W Chateau PL
Anaheim, CA 92802-1517 - Phone
- (562) 306-4718
- NPI assigned
- Oct 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tifarrah Emma Williams
- Title
- Ceo, President
- Phone
- (562) 306-4718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1687 W Chateau PL
Anaheim, CA 92802-1517
Mailing address
8862 Garden Grove Blvd Ste 204
Garden Grove, CA 92844-1293
Other names 1
- StarLight StartBright INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Los Angeles, CA
- NPI 1053648949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1235855008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8862 GARDEN GROVE BLVD STE 204",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 W CHATEAU PL",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021517",
"telephone_number": "562-306-4718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARLIGHT STARTBRIGHT INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TIFARRAH",
"authorized_official_middle_name": "EMMA",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "562-306-4718",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "StarLight StartBright INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.