Starlight Autism Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STARLIGHT AUTISM CENTER LLC

Practice address

1405 Lilac Dr N Ste 209
Minneapolis, MN 55422-4546

Phone

(612) 450-2856

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Hanas Kumbi

Title

Owner

Phone

(612) 450-2856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1821804501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224546",
            "telephone_number": "612-450-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224546",
            "telephone_number": "612-450-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "KUMBI",
        "authorized_official_first_name": "HANAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-450-2856"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Starkey
• Christy Lynn Starks, OTR/L
• Jamie Leigh Starks, M.D.
• Kenneth C Starks, MD
• Rayne Starks
• Starlight Home Services
• Leona D Starnes
• Katie Starns
• Adele Starr, NP
• Brooke Starr

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.