Starlight Health Care Services LTD

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

STARLIGHT HEALTH CARE SERVICES LTD

Practice address

17674 54TH CT NE
Otsego, MN 55374-4644

Phone

(763) 439-8665

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

John O Ombasa

Title

Director

Phone

(763) 439-8665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1285370544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17674 54TH CT NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553744644",
            "telephone_number": "763-439-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17674 54TH CT NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553744644",
            "telephone_number": "763-439-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT HEALTH CARE SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "OMBASA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-439-8665"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smart Care Home Health
• Lisa A Smith, OTR/L, CHT
• Rachel Anne Sobolewski, MA, LPCC
• Sofvon Healthcare
• Ashley Sprain
• Madison Ann Stevens, LGSW
• Laura Stevenson, M.S., CCC-SLP
• Emily Jo Stoks, M.A., LPC
• Kayla Michelle Summerland
• Sunrise Wellness, LLC

• In Home Supportive Care Agency in Otsego, MN
• Providers in Otsego, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.