Organization Active NPI

Moonstar Transportation LLC

  • Developmentally Disabled Services Day Training Agency
  • Columbus, OH
National Provider Identifier
1972813194
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2547275 Issued in OH
Legal business name
MOONSTAR TRANSPORTATION LLC
Practice address
6161 Busch Blvd Ste 313
Columbus, OH 43229-2555
Phone
(614) 947-1381
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Diriye Ali
Title
Ceo
Phone
(614) 260-6617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2547275 OH Primary

Addresses

Primary practice location

6161 Busch Blvd Ste 313
Columbus, OH 43229-2555

Mailing address

6161 Busch Blvd Ste 313
Columbus, OH 43229-2555

Other identifiers 1

IdentifierTypeStateIssuer
291850MedicaidOH

National Provider Directory

National Provider Directory

Locations

6161 Busch Blvd
Ste 313
Columbus, OH 43229
Phone (614) 505-7679

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1972813194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 313",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 313",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292555",
            "telephone_number": "614-947-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTAR TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "DIRIYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-260-6617"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2547275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.