Starlight Home

LBN: California Portsmouth Square Association
Starlight Home is an health care organization with primary practice located at 686 Humboldt St , Richmond CA 94805-1959. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / Foster Care Agency, Managed Care Organizations / Preferred Provider Organization, Nursing & Custodial Care Facilities / Custodial Care Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Student, Health Care / Student in an Organized Health Care Education/Training Program. Agencies / Case Management is the primary health care specialty. California Portsmouth Square Association can be contacted via phone (510) 236-3388, or through Holmes, Lonnie via phone (415) 574-1213.

Contact Information

Primary practice address
686 Humboldt St Richmond CA 94805-1959
Phone: (510) 236-3388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Lonnie Master of Public Administration (MPA)
Phone: (415) 574-1213

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / Foster Care Agency 253J00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477172864
LBN Legal business name California Portsmouth Square Association
DBA Doing business as Starlight Home
Authorized official Holmes, Lonnie Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2020
Last updated Apr 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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