Starlight Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STARLIGHT MEDICAL SUPPLY, LLC

Practice address

5701 Roman Hill Dr
Olive Branch, MS 38654-9437

Phone

(662) 893-0414

NPI assigned

Jul 29, 2006

Last updated

Aug 22, 2020By 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

Mrs. Clemenstine Breakfield

Title

President

Phone

(662) 893-0414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437163797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 ROMAN HILL DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549437",
            "telephone_number": "662-893-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 ROMAN HILL DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549437",
            "telephone_number": "662-893-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREAKFIELD",
        "authorized_official_first_name": "CLEMENSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-893-0414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Hospice,LLC (ACG Hospice)
• Kristin Cox Spence, APN, FNP
• Spirit Care Services Inc
• Spring Valley Hospice, LLC
• Springwood Health & Supportive Living Services
• Patricia Lee Steele, PHARMACIST
• Stephanie Harding, DDS of Mississippi II, PLLC
• Vernita Arnett Stephens
• Terrence Stephenson
• Austin Webber Steward, PT

• Durable Medical Equipment & Medical Supplies in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.