All Star Camp
Respite Care, Respite Care Camp in Madison Heights, MI. Organization (NPI-2).
NPI number1104763168
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1104763168
- Entity type
- Organization (NPI-2)
- Legal business name
- All Star Camp
- Organization subpart
- No
- Enumeration date
- Apr 29, 2026
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2050X | Respite Care, Respite Care Camp | – | – | Yes |
Practice location
29685 Tawas StMadison Heights, MI 48071-5425
Phone 248-990-1508
Mailing address
2360 Pebble Creek DrOakland, MI 48363-2228
Phone 248-990-1508
Authorized official
Karen Kmiecik
Director
2489901508
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