ALL STAR CAMP – NPI #1104763168
Respite Care

A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

Health Care Provider Taxonomy Code for Respite Care

ALL STAR CAMP is a respite care facility located in MADISON HEIGHTS, MI. NPPES recently assigned the NPI number 1104763168 to ALL STAR CAMP on April 29, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 385HR2050X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care Camp

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALL STAR CAMP below.

NPI Profile for
ALL STAR CAMP

NPI Number
1104763168
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALL STAR CAMP
Primary location
29685 TAWAS ST
MADISON HEIGHTS, MI 48071-5425
Phone: (248) 990-1508 Fax:
Mailing address
2360 PEBBLE CREEK DR
OAKLAND, MI 48363-2228
Phone: (248) 990-1508 Fax:
Organization Subpart
No
Authorized Official
KAREN KMIECIK
DIRECTOR
Phone: (248) 990-1508
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385HR2050X
- Respite Care / Respite Care Camp (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.