Provider Demographics
NPI:1417769472
Name:STARLIGHT HOME HEALTH TRANSPORTATION AND STAFFING SERVICES LLC
Entity type:Organization
Organization Name:STARLIGHT HOME HEALTH TRANSPORTATION AND STAFFING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER, OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-420-0712
Mailing Address - Street 1:3008 FOX CHAPLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5455
Mailing Address - Country:US
Mailing Address - Phone:567-292-1160
Mailing Address - Fax:380-203-1290
Practice Address - Street 1:3008 FOX CHAPLE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5455
Practice Address - Country:US
Practice Address - Phone:567-292-1160
Practice Address - Fax:380-203-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health