Provider Demographics
NPI:1215538467
Name:STARLIGHT ENTERPRISES, INC.
Entity Type:Organization
Organization Name:STARLIGHT ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:330-339-2020
Mailing Address - Street 1:400 EAST HIGH AVE., PO BOX 1054
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663
Mailing Address - Country:US
Mailing Address - Phone:330-339-2020
Mailing Address - Fax:330-308-5505
Practice Address - Street 1:400 EAST HIGH AVE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663
Practice Address - Country:US
Practice Address - Phone:330-339-2020
Practice Address - Fax:330-308-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty