NPIMap

Organization Active NPI

Star Center Inc.

  • Clinic/Center
  • Detroit, MI
National Provider Identifier
1396122818
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
164W00000X Issued in MI
Legal business name
STAR CENTER INC.
Practice address
13575 Lesure St
Detroit, MI 48227-3131
Phone
(313) 493-4410
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Mrs. Lucila Ryder
Title
Program Director
Phone
(313) 493-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 164W00000X MI Primary

Addresses

Primary practice location

13575 Lesure St
Detroit, MI 48227-3131

Mailing address

13575 Lesure St
Detroit, MI 48227-3131
Phone (313) 493-4410

National Provider Directory

National Provider Directory
Tax ID family
Star Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

13575 Lesure St
Detroit, MI 48227
Phone (313) 493-4410

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1396122818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "LUCILA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-493-4410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "164W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.