Provider Demographics
NPI:1639351323
Name:STARLITE HOME CARE, LLC
Entity Type:Organization
Organization Name:STARLITE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-994-0146
Mailing Address - Street 1:27620 FARMINGTON RD
Mailing Address - Street 2:STE B-9
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3349
Mailing Address - Country:US
Mailing Address - Phone:248-994-0146
Mailing Address - Fax:248-994-0214
Practice Address - Street 1:27620 FARMINGTON RD
Practice Address - Street 2:STE B-9
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3349
Practice Address - Country:US
Practice Address - Phone:248-994-0146
Practice Address - Fax:248-994-0214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239019Medicare Oscar/Certification