Provider Demographics
NPI:1386356780
Name:STARLIGHT HOME CARE AGENCY
Entity type:Organization
Organization Name:STARLIGHT HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZATULOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-836-0500
Mailing Address - Street 1:160 PEHLE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5227
Mailing Address - Country:US
Mailing Address - Phone:201-836-0500
Mailing Address - Fax:201-836-5301
Practice Address - Street 1:4776 ROUTE 9 S
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3354
Practice Address - Country:US
Practice Address - Phone:732-987-5021
Practice Address - Fax:732-987-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health