Organization Active NPI

Starcare SM LLC

Doing business as Starcare SM

  • Land Ambulance
  • Norcross, GA
National Provider Identifier
1841008174
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STARCARE SM LLC
Doing business as
Starcare SM
Practice address
6500 McDonough Dr Ste C12
Norcross, GA 30093-1217
Phone
(770) 674-7035
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mr. Mahad Alasow
Title
Manager
Phone
(770) 674-7035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6500 McDonough Dr Ste C12
Norcross, GA 30093-1217

Mailing address

6500 McDonough Dr Ste C12
Norcross, GA 30093-1217
Phone (770) 674-7035

Other names 1

  • Starcare SM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617000939 GA Part B Supplier - Ambulance Service Supplier 7214448208 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

6500 McDonough Dr
Ste C12
Norcross, GA 30093
Phone (480) 246-6997

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1841008174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 MCDONOUGH DR STE C12",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931217",
            "telephone_number": "770-674-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MCDONOUGH DR STE C12",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931217",
            "telephone_number": "770-674-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARCARE SM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "ALASOW",
        "authorized_official_first_name": "MAHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-674-7035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starcare SM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.