National Provider Identifier Database

THE FOUNDATION FOR THE STARS
Corporate Health


Contact Information

THE FOUNDATION FOR THE S.T.A.R.S.
3708 WATERHOLE ST
LAS VEGAS, NV89130-2907
Phone: 702-515-1761
Fax: 702-515-1761
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X

* Indicates primary specialty

NPI Profile & details for THE FOUNDATION FOR THE S.T.A.R.S.

NPI Number 1922136498
Legal business name
LBN
THE FOUNDATION FOR THE S.T.A.R.S.
Authorized official TRUDY PARKS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/28/2007
Last updated 06/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: GF-125401040-0001
  • NV Medicaid: 100511029
  • NV Medicaid: 100511030

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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