NPIMap

Organization Active NPI

Starlight Group Home, LLC

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1326513250
Registry record updated Oct 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
STARLIGHT GROUP HOME, LLC
Practice address
2301 E 9TH St
Reno, NV 89512-3201
Phone
(775) 762-2162
NPI assigned
Oct 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2018

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

Authorized official

Name
Mr. Ernesto Domingo Beltejar Jr., ADMINISTRATOR
Title
Manager
Phone
(775) 762-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2301 E 9TH St
Reno, NV 89512-3201

Mailing address

2301 E 9TH St
Reno, NV 89512-3201
Phone (775) 762-2162

National Provider Directory

National Provider Directory
Tax ID family
Bright Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538870400000",
    "number": "1326513250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E 9TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123201",
            "telephone_number": "775-762-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E 9TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123201",
            "telephone_number": "775-762-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-07",
        "last_updated": "2018-10-07",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-762-2162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; 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.