NPIMap

Organization Active NPI

Star Rehab. LLC

  • Health Maintenance Organization
  • Southfield, MI
National Provider Identifier
1568714731
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
225100000X Issued in MI
Legal business name
STAR REHAB. LLC
Practice address
15565 Northland Dr.
Suite 205 E.
Southfield, MI 48075
Phone
(248) 443-7202
Fax
(248) 443-7232
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mr. Ashfaq Ahmed, B.SC. RPT
Title
President
Phone
(248) 443-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 225100000X MI Primary

Addresses

Primary practice location

15565 Northland Dr.
Suite 205 E.
Southfield, MI 48075

Mailing address

15565 Northland Dr.
Suite. 205 E.
Southfield, MI 48075
Phone (248) 443-7202

National Provider Directory

National Provider Directory

Locations

15565 Northland Dr E
Ste 205E
Southfield, MI 48075
Phone (248) 443-7202

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1568714731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR.",
            "address_2": "SUITE. 205 E.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-443-7202",
            "fax_number": "248-443-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR.",
            "address_2": "SUITE 205 E.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-443-7202",
            "fax_number": "248-443-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR REHAB. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ASHFAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-443-7202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.SC. RPT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.