Starlight Home Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0153401 Issued in NJ

Legal business name

STARLIGHT HOME CARE AGENCY, INC

Practice address

137 Gaither Dr Ste B
Mount Laurel, NJ 08054-1711

Phone

(856) 234-3333

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Victoria Zatulovsky

Title

Director of Operations

Phone

(201) 836-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Star Pediatric Home Care Doing business as

Tax ID family

Star Pediatric Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Starlight Home Care Agency

  • Home Health Agency
  • Howell, NJ
  • NPI 1386356780
  NPD tax ID
• Starlight Home Care Agency, Inc

  • Home Health Agency
  • Saddle Brook, NJ
  • NPI 1033370317
  NPD tax ID

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1346487360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PEHLE AVE STE 203",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635227",
            "telephone_number": "201-836-0500",
            "fax_number": "201-836-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GAITHER DR STE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541711",
            "telephone_number": "856-234-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "ZATULOVSKY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "201-836-0500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0153401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910830",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Pediatric Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Square One Health Services LLC
• Elizabeth M Staib, LCSW, CEAP, SAP
• Alana Holley Stamper-Gimbar
• Sara E Stanley
• Star Physical Therapy
• Kimberly Rose Stawarz, MD
• Barbara Stead
• John David Steen Jr.
• Kristin Steen, ATC
• Stefan C. Dombrowski, PH.D. & Associates, LLC

• Home Health Agency in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.