Active NPI
Starflex Training & Employment Agency LLC
- Train
- Carbondale, IL
National Provider Identifier
1396317962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Train
- Legal business name
- STARFLEX TRAINING & EMPLOYMENT AGENCY LLC
- Practice address
- 1433 E Walnut St Apt 4a
Carbondale, IL 62902-5025 - Phone
- (618) 203-2981
- Fax
- (618) 549-0016
- NPI assigned
- Jul 13, 2021
- Last updated
- Jul 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odel Lewis
- Title
- Qidp
- Phone
- (618) 203-2981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Train | 347D00000X | Primary |
Addresses
Primary practice location
1433 E Walnut St Apt 4a
Carbondale, IL 62902-5025
Mailing address
1433 E Walnut St Apt 4a
Carbondale, IL 62902-5025
Phone (618) 203-2981
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626134400000",
"number": "1396317962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 E WALNUT ST APT 4A",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629025025",
"telephone_number": "618-203-2981",
"fax_number": "618-549-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 E WALNUT ST APT 4A",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629025025",
"telephone_number": "618-203-2981",
"fax_number": "618-549-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARFLEX TRAINING & EMPLOYMENT AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ODEL",
"authorized_official_title_or_position": "QIDP",
"authorized_official_telephone_number": "618-203-2981"
},
"taxonomies": [
{
"code": "347D00000X",
"taxonomy_group": "",
"desc": "Train",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.