STARLIGHT ASSISTED LIVING NPI 1053801712

NPI Information

  • NPI: 1053801712
  • Provider Name: STARLIGHT ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SECURITY ALTERNATIVE CARE
  • Address: 68 SECURITY BLVD
    COLORADO SPRINGS, CO
    ZIP 80911
  • Phone: (719) 390-4721

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NPI Details

STARLIGHT ASSISTED LIVING is an assisted living facility in Colorado Springs, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. STARLIGHT ASSISTED LIVING NPI is 1053801712. The provider is registered as an organization entity type.
The provider Is Doing Business As Security Alternative Care.

The provider's business location address is:

68 SECURITY BLVD
COLORADO SPRINGS, CO
ZIP 80911-929
Phone: (719) 390-4721
Fax: (719) 390-4721

The provider's authorized official is Jim Gultom .
The authorized official title is President and has the following contact phone number (720) 409-7130.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 5/17/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility230550COLORADOYes

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: 11/21/2025

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