NPIMap

Organization Active NPI

Star Community Support Services

  • Community/Behavioral Health Agency
  • Media, PA
National Provider Identifier
1245947969
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STAR COMMUNITY SUPPORT SERVICES
Practice address
106 Chesley Dr
Media, PA 19063-1759
Phone
(610) 874-1119
Fax
(610) 565-3801
NPI assigned
Nov 2, 2022
Organization subpart
Yes
Parent organization
STAR COMMUNITY SUPPORT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
James Philip Kyle
Title
Controller
Phone
(610) 874-1119

Specialties & licenses 1

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

Addresses

Primary practice location

106 Chesley Dr
Media, PA 19063-1759

Mailing address

106 Chesley Dr
Media, PA 19063-1759
Phone (610) 874-1119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250604003051 PA Part B Supplier - Clinic/Group Practice 3678082286 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Media, PA; Norristown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Star Community Support Services3 organizations share this tax ID, including this one
Part of
Star Community Support Services

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1245947969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631759",
            "telephone_number": "610-874-1119",
            "fax_number": "610-565-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631759",
            "telephone_number": "610-874-1119",
            "fax_number": "610-565-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR COMMUNITY SUPPORT SERVICES",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "610-874-1119"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.