NPIMap

Organization Active NPI

Starbound Home Health Services LLC

  • Licensed Practical Nurse
  • Dayton, OH
National Provider Identifier
1326808502
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
STARBOUND HOME HEALTH SERVICES LLC
Practice address
5297 Hillgrove Ave
Dayton, OH 45415-1111
Phone
(937) 242-1570
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Mr. Ikechukwu Alex AhumaraezeNPI 1205537065
Title
Ceo
Phone
(937) 242-1570

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
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

5297 Hillgrove Ave
Dayton, OH 45415-1111

Mailing address

5297 Hillgrove Ave
Dayton, OH 45415-1111

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": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1326808502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 HILLGROVE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 HILLGROVE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151111",
            "telephone_number": "937-242-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBOUND HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "AHUMARAEZE",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-242-1570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.