MEDICARE: STARLIGHT HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	261QD1600X	Developmental Disabilities Clinic/Center
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1477395937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARLIGHT HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2300 PALM BEACH LAKES BLVD STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	561-843-8950
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 PALM BEACH LAKES BLVD STE G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	561-843-8950
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PATRICIA RANDALL
Credential	:
Telephone Number	:	561-843-8950

Provider Enumeration Date	:	06/06/2024
Last Update Date	:	06/06/2024

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Directions to “STARLIGHT HEALTHCARE SERVICES LLC ” Practice Location

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