S.T.a.R. Care Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

S.T.A.R. CARE SERVICES, LLC

Practice address

601 E Taber St
Fort Wayne, IN 46803-2408

Phone

(260) 702-0925

NPI assigned

Jul 19, 2018

Last updated

Mar 16, 2021By 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

Ms. Tei Ferguson

Title

Director

Phone

(260) 446-7613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Kinder Fountain, MSN, RNC, APRN-BC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1194955757
  Medicare reassignment NPD
• John F Newbauer, ED.D.

  • Psychologist
  • Fort Wayne, IN
  • NPI 1891818126
  Medicare reassignment NPD
• Brittney Ferguson

  • Driver
  • Fort Wayne, IN
  • NPI 1255874681
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1710464086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST TABER STREET",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46803",
            "telephone_number": "260-702-0925",
            "fax_number": "260-702-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E TABER ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468032408",
            "telephone_number": "260-702-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.A.R. CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TEI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "260-446-7613",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayge Ryan, CTRS
• Shirley Ann Ryan, MS, LMHC, LMFTA
• Thomas P Ryan, DO
• Christina Ryder, MS, LAT, ATC
• Benjamin Charles Ryman, PHARMD
• Abdo Maroun Saad, MD
• Hazar G Saadeh, NP
• Karen L Saalfield, LCSW
• Todd Robert Saalfrank
• Sultana Saber

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.