Provider Demographics
NPI:1083834642
Name:STAR INC LIGHTING THE WAY
Entity Type:Organization
Organization Name:STAR INC LIGHTING THE WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BANZHAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-846-9581
Mailing Address - Street 1:182 WOLFPIT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-3436
Mailing Address - Country:US
Mailing Address - Phone:203-846-9581
Mailing Address - Fax:
Practice Address - Street 1:208 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06855-1208
Practice Address - Country:US
Practice Address - Phone:203-855-0634
Practice Address - Fax:203-855-0637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004186004Medicaid