Organization Active NPI

Starlight Medical LLC

  • Non-emergency Medical Transport (VAN)
  • Kennesaw, GA
National Provider Identifier
1285938357
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STARLIGHT MEDICAL LLC
Doing business as
Starlight Transportation Services
Practice address
1909 Grenache LN NW
Kennesaw, GA 30152-6770
Phone
(770) 757-7771
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Gustavo Alejandro CastanoNPI 1790066256
Title
Ceo
Phone
(770) 757-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1909 Grenache LN NW
Kennesaw, GA 30152-6770

Mailing address

1909 Grenache LN NW
Kennesaw, GA 30152-6770
Phone (770) 757-7771

Other names 1

  • Starlight Transportation Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1285938357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 GRENACHE LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526770",
            "telephone_number": "770-757-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 GRENACHE LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526770",
            "telephone_number": "770-757-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-757-7771"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Transportation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.