Provider Demographics
NPI:1699800557
Name:STAR CENTER, LLC
Entity type:Organization
Organization Name:STAR CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:O'BRIEN-MINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-221-7827
Mailing Address - Street 1:5655 S YOSEMITE ST STE 302
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3221
Mailing Address - Country:US
Mailing Address - Phone:303-221-7827
Mailing Address - Fax:
Practice Address - Street 1:5655 S YOSEMITE ST STE 302
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3221
Practice Address - Country:US
Practice Address - Phone:303-221-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty