Stellar Support Service

LBN: Stellar Support Service
Stellar Support Service is an health care organization with primary practice located at 15009 North Preston Highway Suite A, Bruceton Mills WV 26525. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Stellar Support Service can be contacted via phone (681) 270-9223, or through D'Avanzo, Vickie via phone (412) 996-6263.

Contact Information

Primary practice address
15009 North Preston Highway Suite A Bruceton Mills WV 26525
Phone: (681) 270-9223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: D'Avanzo, Vickie
Phone: (412) 996-6263

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1992376651
LBN Legal business name Stellar Support Service
DBA Doing business as Stellar Support Service
Authorized official D'Avanzo, Vickie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2021
Last updated Jul 12th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992376651 NPPES
Pennsylvania MEDICAID 103235783

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