STAR HEALTHCARE REGISTRY NPI 1942565627

NPI Information

  • NPI: 1942565627
  • Provider Name: STAR HEALTHCARE REGISTRY
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Address: 113 MAXWELL CV
    TERRY, MS
    ZIP 39170
  • Phone: (601) 918-4669

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NPI Details

STAR HEALTHCARE REGISTRY is a licensed practical nurse in Terry, MS. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. STAR HEALTHCARE REGISTRY NPI is 1942565627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 MAXWELL CV
TERRY, MS
ZIP 39170-514
Phone: (601) 918-4669

The provider's authorized official is Valeria Sims .
The authorized official title is Owner/director and has the following contact phone number (601) 918-4669.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 7/10/2012.

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
1164W00000XLicensed Practical NurseP320903MISSISSIPPIYes

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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