Healthcare Provider Details

I. General information

NPI: 1457166530
Provider Name (Legal Business Name): STARLET TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4865 FOXCROFT CT
COLUMBUS OH
43232-4118
US

IV. Provider business mailing address

4865 FOXCROFT CT
COLUMBUS OH
43232-4118
US

V. Phone/Fax

Practice location:
  • Phone: 614-556-0329
  • Fax:
Mailing address:
  • Phone: 614-556-0329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MUSSIE W TESFAMARIAM
Title or Position: MANAGEMENT
Credential:
Phone: 614-556-0329