NPIMap

Organization Active NPI

Starlight Care Facilities, Inc

  • Alzheimer Center (Dementia Center)
  • South Bend, IN
National Provider Identifier
1295064525
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
080047321 Issued in IN
Legal business name
STARLIGHT CARE FACILITIES, INC
Practice address
915 So. 27TH Street
South Bend, IN 46615
Phone
(574) 204-7972
Fax
(574) 204-7979
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mr. Michael McLaughlinNPI 1457092660
Title
Owner
Phone
(574) 204-7972

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 080047321 IN Primary
Skilled Nursing Facility 314000000X 12-012199-1 IN

Addresses

Primary practice location

915 So. 27TH Street
South Bend, IN 46615

Mailing address

915 So. 27TH Street
South Bend, IN 46615
Phone (574) 204-7972

Other identifiers 1

IdentifierTypeStateIssuer
200989880AMedicaidIN

Other names 1

  • Morningcrest Nursing and Memory Care Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1295064525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SO. 27TH STREET",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46615",
            "telephone_number": "574-204-7972",
            "fax_number": "574-204-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SO. 27TH STREET",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46615",
            "telephone_number": "574-204-7972",
            "fax_number": "574-204-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT CARE FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-204-7972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "080047321",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "12-012199-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200989880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningcrest Nursing and Memory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.