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STARLIGHT PROGRAM NPI 1033539895


NPI Information

NPI: 1033539895
Provider Name: STARLIGHT PROGRAM
Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
345 E 4500 S
#260
MURRAY, UT
ZIP 84107
Phone: (801) 747-3556
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STARLIGHT PROGRAM is a foster care agency in Murray, UT. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. STARLIGHT PROGRAM NPI is 1033539895. The provider is registered as an organization entity type.

The provider's business location address is:

345 E 4500 S
#260
MURRAY, UT
ZIP 84107-991
Phone: (801) 747-3556
Fax: (801) 747-2086

The provider's authorized official is William Joseph Perfetto .
The authorized official title is Director and has the following contact phone number (801) 747-3556.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 4/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253J00000XFoster Care Agency4215UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11497071419MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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