Sacred Star LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SACRED STAR LLC

Practice address

1796 W Ray LN
Apache Junction, AZ 85120-6818

Phone

(619) 324-3344

NPI assigned

Dec 5, 2022

Last updated

Jan 9, 2025By 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

Star Iuli Jr.

Title

Director

Phone

(619) 324-3344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1831800408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 E 14TH AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851199475",
            "telephone_number": "619-324-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 W RAY LN",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206818",
            "telephone_number": "619-324-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "IULI",
        "authorized_official_first_name": "STAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-324-3344",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.