Provider Demographics
NPI:1457924219
Name:STARWELL LIVING,LLC
Entity Type:Organization
Organization Name:STARWELL LIVING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NADEGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-554-3289
Mailing Address - Street 1:1337 PINETTA CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6015
Mailing Address - Country:US
Mailing Address - Phone:954-554-3289
Mailing Address - Fax:
Practice Address - Street 1:1337 PINETTA CIR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6015
Practice Address - Country:US
Practice Address - Phone:561-422-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility