STARLIGHT ASSISTED LINING AT DELAND NPI 1578261541

NPI Information

  • NPI: 1578261541
  • Provider Name: STARLIGHT ASSISTED LINING AT DELAND
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1180 JACKSON RANCH RD
    DELAND, FL
    ZIP 32724
  • Phone: (386) 740-9117

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NPI Details

STARLIGHT ASSISTED LINING AT DELAND is an assisted living facility in Deland, FL. 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 LINING AT DELAND NPI is 1578261541. The provider is registered as an organization entity type.

The provider's business location address is:

1180 JACKSON RANCH RD
DELAND, FL
ZIP 32724-900
Phone: (386) 740-9117
Fax: (386) 624-6002

The provider's authorized official is Runell Fitzgerald Gordon .
The authorized official title is Administrator and has the following contact phone number (720) 998-6303.

The enumeration date for this NPI number is 2/20/2023 and was last updated on 2/20/2023.

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 FacilityYes

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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