Provider Demographics
NPI:1699500421
Name:DAYSTAR NON-EMERGENCY SERVICES LLC
Entity type:Organization
Organization Name:DAYSTAR NON-EMERGENCY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-569-5133
Mailing Address - Street 1:13920 LONGWOOD MANOR CT APT 304
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2472
Mailing Address - Country:US
Mailing Address - Phone:571-569-5133
Mailing Address - Fax:
Practice Address - Street 1:13920 LONGWOOD MANOR CT APT 304
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2472
Practice Address - Country:US
Practice Address - Phone:571-569-5133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)