Starlight Assisted Living at Hudson

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STARLIGHT ASSISTED LIVING AT HUDSON

Practice address

7211 Beaconwoods Drive
Hudson, FL 34667-1975

Phone

(727) 857-5927

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Jim Gultom

Title

Owner

Phone

(720) 409-7130

Specialties & licenses 1

Addresses

Other names 1

• Starlight Assisted Living at Hudson Doing business as

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1609596303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 BEACONWOODS DRIVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671975",
            "telephone_number": "727-857-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BEACONWOODS DRIVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671975",
            "telephone_number": "727-857-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT ASSISTED LIVING AT HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "GULTOM",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-409-7130"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Assisted Living at Hudson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hudson, FL
• Providers in Hudson, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.