Star Mobility Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

343128 Issued in IN

Legal business name

STAR MOBILITY TRANSPORTATION LLC

Practice address

5624 Woodshire Dr Apt 6
Fort Wayne, IN 46835-2988

Phone

(260) 445-0754

Fax

(260) 444-5754

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. James A Khamala

Title

Owner

Phone

(260) 445-0754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1801227475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 WOODSHIRE DR APT 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352988",
            "telephone_number": "260-445-0754",
            "fax_number": "260-444-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 WOODSHIRE DR APT 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352988",
            "telephone_number": "260-445-0754",
            "fax_number": "260-444-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MOBILITY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "KHAMALA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-445-0754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "343128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison R. Stanley, MSW
• Lisa R. Stanley, NP
• Cara E. Stansifer, NP
• Emily D Staples, DC
• Christina Nicole Stapleton, MA
• Angela D Stark, SLP
• Julie Maria Stark, MD
• Kendra E. Stark, NP
• Angela Sue Starkey, FNP-C
• Willa L Starks, LCSW

• Non-emergency Medical Transport (VAN) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.