Starlight Healthcare Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-0362 Issued in SC

Legal business name

STARLIGHT HEALTHCARE SERVICES INC

Practice address

5501 Executive Center Dr Ste 245
Charlotte, NC 28212-8867

Phone

(704) 451-5531

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aniema Etim Udoh

Title

President

Phone

(704) 451-5531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1285184192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 MOUNT GALLANT RD STE A",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297302874",
            "telephone_number": "704-451-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 EXECUTIVE CENTER DR STE 245",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128867",
            "telephone_number": "704-451-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "ANIEMA",
        "authorized_official_middle_name": "ETIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-451-5531"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.