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NPI Code Detail

MEDICARE: STARLIGHT HOSPICE INC

MEDICARE: STARLIGHT HOSPICE 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1801471644
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARLIGHT HOSPICE INC
Provider Business Mailing Address
First Line : 3920 E PATRICK LN # 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3927
Country : US
Telephone Number : 702-472-9850
Fax Number :
Provider Business Practice Location Address
First Line : 3920 E PATRICK LN # 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3927
Country : US
Telephone Number : 702-472-9850
Fax Number :
Authorized Official
Title or Position : CEO
Name : MICHAEL CLEGG
Credential :
Telephone Number : 725-472-9850
Provider Enumeration Date : 03/12/2021
Last Update Date : 10/06/2025

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Directions to “STARLIGHT HOSPICE INC ” Practice Location

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