Starlight Facility Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STARLIGHT FACILITY INC

Doing business as

Residential Care Facility for the Elderly

Practice address

7647 Tujunga Ave
North Hollywood, CA 91605-2937

Phone

(818) 378-7069

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Nelli Tadevosyan

Title

Administrator

Phone

(818) 378-7069

Specialties & licenses 4

Addresses

Other names 1

• Residential Care Facility for the Elderly Doing business as

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1770285702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 TUJUNGA AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052937",
            "telephone_number": "818-378-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7647 TUJUNGA AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052937",
            "telephone_number": "818-378-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-378-7069"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Care Facility for the Elderly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.