Provider Demographics
NPI:1184645038
Name:STARLIGHT HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:STARLIGHT HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPFFIONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-530-9751
Mailing Address - Street 1:11220 S HIGHWAY 6
Mailing Address - Street 2:# A-5
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4947
Mailing Address - Country:US
Mailing Address - Phone:281-530-9751
Mailing Address - Fax:281-530-0571
Practice Address - Street 1:11220 S HIGHWAY 6
Practice Address - Street 2:# A-5
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4947
Practice Address - Country:US
Practice Address - Phone:281-530-9751
Practice Address - Fax:281-530-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0088551332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies