Provider Demographics
NPI:1598124158
Name:STARLIGHT HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:STARLIGHT HEALTH SYSTEM, INC.
Other - Org Name:STARLIGHT HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GOURGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:818-203-6258
Mailing Address - Street 1:14621 TITUS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4905
Mailing Address - Country:US
Mailing Address - Phone:818-849-6044
Mailing Address - Fax:844-269-6817
Practice Address - Street 1:14621 TITUS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4905
Practice Address - Country:US
Practice Address - Phone:818-849-6044
Practice Address - Fax:844-269-6817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health