Star Light LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STAR LIGHT LLC

Doing business as

Star Light Home Health

Practice address

122 S Park Ave
Montrose, CO 81401-3950

Phone

(970) 417-4812

Fax

(970) 249-5098

NPI assigned

May 29, 2020

Last updated

May 29, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

STAR LIGHT LLCAs reported in NPPES

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

Authorized official

Name

Kitty Margaret Turner Vradenburg, DO

Title

Regional Business Director

Phone

(602) 710-4411

Specialties & licenses 1

Addresses

Other names 1

• Star Light Home Health Doing business as

Electronic endpoints 1

Tax ID family

Star Light LLC3 organizations share this tax ID, including this one

Part of

Star Light LLC

Other organizations with this tax ID 2

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

• Star Light LLC

  dba FirstLight Home Care

  • Home Health Agency
  • Grand Junction, CO
  • NPI 1447598388
  NPD tax ID
• Star Light LLC

  dba FirstLight Home Care of Western Colorado

  • Home Health Agency
  • Grand Junction, CO
  • NPI 1871127902
  NPD tax ID

Locations

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1528682143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013950",
            "telephone_number": "970-417-4812",
            "fax_number": "970-249-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013950",
            "telephone_number": "970-417-4812",
            "fax_number": "970-249-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR LIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR LIGHT LLC",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "VRADENBURG",
        "authorized_official_first_name": "KITTY",
        "authorized_official_middle_name": "MARGARET TURNER",
        "authorized_official_title_or_position": "REGIONAL BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "602-710-4411",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Montrose",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Montrose",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 S Park Ave",
            "city": "Montrose",
            "state": "CO",
            "country_code": "US",
            "postal_code": "814013950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Star Light Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark R Stampehl, M.D.
• Lars A. Stangebye, M.D.
• Sarah Grace Stangebye, MS
• Jared Scott Staples, DDS
• Star Light Healthcare Services, LLC (Star Light Home Health)
• Nikki Steele, FNP-C
• Stephen M Vicalvi DDS
• Katherine Christine Stephens, MD ABFM MBCHB DRCOG
• Amanda Stertzbach, DPT
• R Jeneine Stevenson

• Home Health Agency in Montrose, CO
• Providers in Montrose, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.