Organization Active NPI

Starlight Carriers LLC

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1255058145
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STARLIGHT CARRIERS LLC
Practice address
2429 Sycamore Dr Apt 5
Green Bay, WI 54311-5151
Phone
(413) 271-6791
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Yussuf Mohamed Kassim
Title
Owner
Phone
(413) 271-6791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

2429 Sycamore Dr Apt 5
Green Bay, WI 54311-5151

Mailing address

2429 Sycamore Dr Apt 5
Green Bay, WI 54311-5151
Phone (413) 271-6791

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1255058145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SYCAMORE DR APT 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115151",
            "telephone_number": "413-271-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 SYCAMORE DR APT 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115151",
            "telephone_number": "413-271-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT CARRIERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "YUSSUF",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-271-6791"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.