Provider Demographics
NPI:1376051979
Name:STARLINE INVESTMENTS INC
Entity Type:Organization
Organization Name:STARLINE INVESTMENTS INC
Other - Org Name:DIVINE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STARLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-348-4631
Mailing Address - Street 1:4145 S GENSEN LOOP
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-7009
Mailing Address - Country:US
Mailing Address - Phone:937-205-6926
Mailing Address - Fax:
Practice Address - Street 1:3226 OMNI DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245
Practice Address - Country:US
Practice Address - Phone:833-348-4631
Practice Address - Fax:833-348-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0271319Medicaid