Healthcare Provider Details

I. General information

NPI: 1851221808
Provider Name (Legal Business Name): STARLIGHT HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 PAVO PATH
WENDELL NC
27591-6338
US

IV. Provider business mailing address

1229 PAVO PATH
WENDELL NC
27591-6338
US

V. Phone/Fax

Practice location:
  • Phone: 906-281-1111
  • Fax:
Mailing address:
  • Phone: 906-281-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUWASEGUN SOLOMON ADEGBOYE
Title or Position: ADMINISTRATOR
Credential:
Phone: 906-281-1111