Healthcare Provider Details

I. General information

NPI: 1215773098
Provider Name (Legal Business Name): S.T.A.R.S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 E 222ND ST STE 624
EUCLID OH
44123-2032
US

IV. Provider business mailing address

628 E 222ND ST STE 624
EUCLID OH
44123-2032
US

V. Phone/Fax

Practice location:
  • Phone: 216-254-2615
  • Fax:
Mailing address:
  • Phone: 216-254-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: EBONY S WARREN
Title or Position: OWNER
Credential:
Phone: 216-254-2615