Starlight Program

LBN: Starlight Program
Starlight Program is an health care organization with primary practice located at 345 E 4500 S #260, Murray UT 84107-3991. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Starlight Program can be contacted via phone (801) 747-3556, or through Perfetto, William Joseph via phone (801) 747-3556.

Contact Information

Primary practice address
345 E 4500 S #260 Murray UT 84107-3991
Phone: (801) 747-3556
Fax: (801) 747-2086
Website:
Map and Directions
Authorized official contact:
Name: Perfetto, William Joseph Licensed Clinical Social Worker (LCSW)
Phone: (801) 747-3556

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 4215 Utah

Profile Details

NPI number 1033539895
LBN Legal business name Starlight Program
DBA Doing business as
Authorized official Perfetto, William Joseph Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 21st, 2014
Last updated Apr 21st, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033539895 NPPES
Utah MEDICAID 1497071419

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