Provider Demographics
NPI:1982106480
Name:A STARLIGHT PERSONAL CARE, LLC
Entity type:Organization
Organization Name:A STARLIGHT PERSONAL CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERZH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-202-0978
Mailing Address - Street 1:2801 S VALLEY VIEW BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0176
Mailing Address - Country:US
Mailing Address - Phone:702-202-0978
Mailing Address - Fax:702-202-4882
Practice Address - Street 1:2801 S VALLEY VIEW BLVD STE 11
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0176
Practice Address - Country:US
Practice Address - Phone:702-202-0978
Practice Address - Fax:702-202-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20171685973251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health