Provider Demographics
NPI:1114339140
Name:STARLITE CARE INC
Entity Type:Organization
Organization Name:STARLITE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUMPHREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-481-5991
Mailing Address - Street 1:6304 CHEETAH CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4339
Mailing Address - Country:US
Mailing Address - Phone:301-423-0535
Mailing Address - Fax:
Practice Address - Street 1:6304 CHEETAH CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4339
Practice Address - Country:US
Practice Address - Phone:301-423-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-26
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home