Healthcare Provider Details

I. General information

NPI: 1609746890
Provider Name (Legal Business Name): STARLIGHT HOME HEALTH AND PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 HAZEL STONE DR
FRISCO TX
75034-3611
US

IV. Provider business mailing address

2424 HAZEL STONE DR
FRISCO TX
75034-3611
US

V. Phone/Fax

Practice location:
  • Phone: 945-407-9855
  • Fax:
Mailing address:
  • Phone: 945-407-9855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROYSTON NNAMDI
Title or Position: ADMINISTRATOR
Credential:
Phone: 945-407-9855