Active NPI
Mereline Starling, LVN
- Adult Care Home Facility
- Henderson, TX
National Provider Identifier
1588024277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 4285 Hwy 259 South
Henderson, TX 75654-5133 - Phone
- (903) 649-1326
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
4285 Hwy 259 South
Henderson, TX 75654-5133
Mailing address
PO Box 21
Henderson, TX 75653-0021
Phone (903) 657-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000863500 | Other | TX | API |
| 136722 | Other | TX | ADULT FOSTER CARE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1588024277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756530021",
"telephone_number": "903-657-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4285 HWY 259 SOUTH",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756545133",
"telephone_number": "903-649-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARLING",
"first_name": "MERELINE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "API",
"identifier": "000863500",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT FOSTER CARE LICENSE",
"identifier": "136722",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.