NPIMap

Organization Active NPI

Starks Homes LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1538668983
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
STARKS HOMES LLC
Practice address
7325 E Fayette St
Tucson, AZ 85730-2324
Phone
(520) 304-6681
Fax
(520) 437-0387
NPI assigned
Feb 12, 2018
Organization subpart
Yes
Parent organization
STARKS HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Corey Du Juan StarksNPI 1225275191
Title
Program Administrator
Phone
(520) 304-6681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

7325 E Fayette St
Tucson, AZ 85730-2324

Mailing address

7325 E Fayette St
Tucson, AZ 85730-2324
Phone (520) 304-6681

Other practice location 1

2873 E Lucca Ln
Vail, AZ 85641-9712
Phone (520) 304-6681

Other names 1

  • Starks Homes LLC Fayette Other name

National Provider Directory

National Provider Directory
Tax ID family
Starks Homes LLC2 organizations share this tax ID, including this one
Part of
Starks Homes LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1538668983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 E FAYETTE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302324",
            "telephone_number": "520-304-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 E FAYETTE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302324",
            "telephone_number": "520-304-6681",
            "fax_number": "520-437-0387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2873 E Lucca Ln",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "AZ",
            "postal_code": "856419712",
            "country_code": "US",
            "telephone_number": "520-304-6681",
            "fax_number": "520-437-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARKS HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARKS HOMES LLC",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "DU JUAN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "520-304-6681"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starks Homes LLC Fayette",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Starks Homes LLC Fayette",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.