THE FOUNDATION FOR THE S.T.A.R.S.; NPI #1922136498

Contact Information

THE FOUNDATION FOR THE S.T.A.R.S.

3708 WATERHOLE ST
LAS VEGAS, NV 89130-2907

Phone: 702-515-1761
Fax: 702-515-1761
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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

NPI # 1922136498

LBN Legal business name THE FOUNDATION FOR THE S.T.A.R.S.

Authorized official TRUDY PARKS - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/28/2007

Last updated 06/20/2008 - About 18 years ago

Identifiers

NV	License #	GF-125401040-0001
NV	Medicaid	100511029
NV	Medicaid	100511030

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE FOUNDATION FOR THE S.T.A.R.S.

Contact Information

Specialty

Corporate Health

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

Reviews for THE FOUNDATION FOR THE S.T.A.R.S.