Marie Star, Inc. in Sunrise - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Marie Star, Inc. - NPI 1821165192
Marie Star, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Sunrise, Florida. Marie Star, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Marie Star, Inc. is 1821165192. The last update date is 2009-03-24.
Marie Star, Inc.'s current location address is 11471 Nw 35th St, Sunrise, Florida. You can contact this provider via phone number 9547426349 and fax number 9547498560. The mailing address for Marie Star, Inc. is 11471 Nw 35th St, Sunrise, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Marie Star, Inc. |
---|---|
Address | 11471 Nw 35th St, Sunrise, Florida |
Phone Number | 9547426349 |
Fax Number | 9547498560 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Deravile Marie-Stuart |
Telephone Number | 9547426349 |
NPI Number Detail
NPI Number | 1821165192 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2009-03-24 |
Provider Mailing Address Detail
Address | 11471 Nw 35th St |
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City | Sunrise |
State | Florida (FL) |
Post Code | 333231419 |
Phone Number | 9547426349 |
Fax Number | 9547498560 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
---|---|
Taxonomy | 320900000X |
Licence No | 10-1215GH |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
686881996 | FL | -- | |
686881997 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marie Star, Inc. by the Centers for Medicare & Medicaid Services?
The Marie Star, Inc. has been assigned the NPI (National Provider Identifier) 1821165192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Marie Star, Inc.'s facilities are situated?
The facilities of Marie Star, Inc. are physically located at the following address: 11471 Nw 35Th St, Sunrise, FL, 333231419.
What is Marie Star, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marie Star, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did Marie Star, Inc. receive its 1821165192 assignment from the Centers for Medicare & Medicaid Services?
The Marie Star, Inc. was assigned its 1821165192 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Marie Star, Inc. most recently updated or revised?
The details related to Marie Star, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2009-03-24.
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