MR. COREY DU JUAN STARKS NPI 1225275191

NPI Information

NPI: 1225275191
Provider Name: MR. COREY DU JUAN STARKS
Classification: Respite Care - 385HR2055X
Entity Type: Individual

Specialization: Respite Care, Mental Illness, Child

Address:
4880 N SABINO CANYON RD APT 4219
TUCSON, AZ
ZIP 85750
Phone: (816) 956-1487
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MR. Corey Du Juan Starks is a respite care and mental illness and child respite care in Tucson, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. MR. Corey Du Juan Starks NPI is 1225275191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4880 N SABINO CANYON RD APT 4219
TUCSON, AZ
ZIP 85750-008
Phone: (816) 956-1487

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.

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
1	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	1049220	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1049220	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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