Star, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STAR, LLC

Practice address

89B Old Trolley Road
Suite 202
Summerville, SC 29485

Phone

(949) 322-6316

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Shiloh, BCBA

Title

Owner

Phone

(949) 322-6316

Specialties & licenses 1

Addresses

Tax ID family

Star LLC3 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.

• Star, LLC

  • Community/Behavioral Health Agency
  • Summerville, SC
  • NPI 1497904767
  NPD tax ID
• Star, LLC

  • Community/Behavioral Health Agency
  • Charleston, SC
  • NPI 1619349453
  NPD tax ID

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1427352699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89B OLD TROLLEY ROAD",
            "address_2": "SUITE 202",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "949-322-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "SHILOH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-322-6316",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Stafford
• Jordan Tyler Staires, PHARMD
• William Kurt Staley, D.C.
• Natalie Nicole Stanley
• Gabrielle Stapf
• Star, LLC
• Kelly Marie Starbuck, LPC
• Tyler John Starkweather, DPT
• Serena Stasko
• State of South Carolina (SC Dhec)

• Community/Behavioral Health Agency in Summerville, SC
• Providers in Summerville, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.