=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538092515
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STARR MASSIE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2026
-----------------------------------------------------
Last Update Date | 06/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11410 E LENNON RD
-----------------------------------------------------
City | LENNON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48449-9666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-494-0553
-----------------------------------------------------
Fax | 989-494-0554
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1210 CRAVEN DR
-----------------------------------------------------
City | HIGHLAND
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48356-1131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------