Star Capital Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CRC-2028 Issued in SC

Legal business name

STAR CAPITAL INC

Doing business as

Goose Creek Manor

Practice address

104 Marilyn St
Goose Creek, SC 29445-3104

Phone

(843) 572-7442

Fax

(843) 553-4043

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Fuzail A Rizvi

Title

President

Phone

(571) 225-8735

Specialties & licenses 2

Addresses

Other names 1

• Goose Creek Manor Doing business as

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1679050868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARILYN ST",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453104",
            "telephone_number": "843-572-7442",
            "fax_number": "843-553-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARILYN ST",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453104",
            "telephone_number": "843-572-7442",
            "fax_number": "843-553-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CAPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "FUZAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-225-8735"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-2027",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goose Creek Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Space, DPT
• Jay Spateholts
• Miranda Hildred Spurgeon, L.M.T.
• Jason S St Clair, PT
• John Scott Stadalsky, MD
• Starfish Pediatric ENT, LLC
• Kelsey N Steedly, PA
• Ashley N Steigler
• Sarah B Stevens, PH.D.
• Abigail Erin Stone, APRN, FNP-C

• Assisted Living Facility in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.