Healthcare Provider Details
I. General information
NPI: 1437716826
Provider Name (Legal Business Name): THE STARREN GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
51 JFK PKWY FL 1
SHORT HILLS NJ
07078-2713
US
IV. Provider business mailing address
51 JFK PKWY FL 1
SHORT HILLS NJ
07078-2713
US
V. Phone/Fax
- Phone: 973-348-9170
- Fax:
- Phone: 973-348-9170
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BN1400X |
| Taxonomy | Nursing Facility Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARRIS
STERLING
Title or Position: CEO
Credential:
Phone: 973-348-9170