Star Wellness & Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STAR WELLNESS & HEALTH LLC

Practice address

601 Limona Rd
Brandon, FL 33510-2828

Phone

(813) 773-5687

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Omayda VazquezNPI 1942431218

Title

Owner

Phone

(813) 773-5687

Specialties & licenses 1

Addresses

Other names 1

• Star Wellness & Health LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omayda Vazquez

  • Behavior Analyst
  • Brandon, FL
  • NPI 1942431218
  NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1255075677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LIMONA RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102828",
            "telephone_number": "786-624-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LIMONA RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102828",
            "telephone_number": "813-773-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR WELLNESS & HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "OMAYDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-773-5687"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Wellness & Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Douglas Scott Stafford, D.M.D.
• Brian Patrick Stahl, MD
• Kevin Stallings, PMHNP-BC
• Chris Stangle, PTA
• Zachary Stanton, DO
• Elena Starr, MA
• Start Fresh Counseling Center, Inc
• Start Fresh Foundation Inc
• Savannah Steele
• Sophia Elizabeth Lee Stefano, APRN

• Community/Behavioral Health Agency in Brandon, FL
• Providers in Brandon, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.