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NPI Code Detail

MEDICARE: LITTLE STAR CENTER, INC.

MEDICARE: LITTLE STAR CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1285804732
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE STAR CENTER, INC.
Provider Business Mailing Address
First Line : 550 CONGRESSIONAL BLVD STE 115
Second Line :
City : CARMEL
State : IN
Zip : 46032-5644
Country : US
Telephone Number : 765-484-6196
Fax Number : 317-249-2248
Provider Business Practice Location Address
First Line : 12650 HAMILTON CROSSING BLVD
Second Line :
City : CARMEL
State : IN
Zip : 46032-5400
Country : US
Telephone Number : 317-249-2242
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF INSURANCE
Name : CHRIS KIRK
Credential :
Telephone Number : 317-249-2242
Provider Enumeration Date : 03/11/2008
Last Update Date : 02/21/2025

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Directions to “LITTLE STAR CENTER, INC. ” Practice Location

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