Star Adult Day Treatment Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STAR ADULT DAY TREATMENT SERVICES LLC

Practice address

16501 Wyoming St
Detroit, MI 48221-2848

Phone

(313) 416-9000

Fax

(313) 416-9002

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Reynolds

Title

Administrator

Phone

(313) 416-9000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1699308023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351335",
            "telephone_number": "313-416-9000",
            "fax_number": "313-416-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212848",
            "telephone_number": "313-416-9000",
            "fax_number": "313-416-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ADULT DAY TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-416-9000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cletus Nor Stanton
• Jacob Stanton
• Taylor Stanton, MD
• Valincia Jasmine Stanton
• Brenda Joyce Staples, LMSW
• Star Center
• Star Center
• Star Center Inc.
• Star Center, Inc.
• Star Medical Transportation, LLC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.