Provider Demographics
NPI:1013725431
Name:STARS TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:STARS TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:IVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-622-2095
Mailing Address - Street 1:3160 CHERRY LAKE LN STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8613
Mailing Address - Country:US
Mailing Address - Phone:317-622-2095
Mailing Address - Fax:317-622-2095
Practice Address - Street 1:3160 CHERRY LAKE LN STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-8613
Practice Address - Country:US
Practice Address - Phone:317-622-2095
Practice Address - Fax:317-622-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)