NPIMap

Organization Active NPI

Starlight Group Home, LLC

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1780251967
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
STARLIGHT GROUP HOME, LLC
Doing business as
BRIGHT LIFE
Practice address
10515 Kenai Dr
Reno, NV 89521-8319
Phone
(775) 762-2162
Fax
(775) 376-1066
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mr. Ernesto Domingo Beltejar Jr., RFA-9318
Title
Administrator
Phone
(775) 762-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

10515 Kenai Dr
Reno, NV 89521-8319

Mailing address

10515 Kenai Dr
Reno, NV 89521-8319
Phone (775) 762-2162

Other names 1

  • BRIGHT LIFE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1780251967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 KENAI DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218319",
            "telephone_number": "775-762-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 KENAI DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218319",
            "telephone_number": "775-762-2162",
            "fax_number": "775-376-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-762-2162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RFA-9318"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.