Provider Demographics
NPI:1114331618
Name:BRIGHT STARZ LEARNING CENTER
Entity Type:Organization
Organization Name:BRIGHT STARZ LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-209-3533
Mailing Address - Street 1:230 BARNHILL CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3704
Mailing Address - Country:US
Mailing Address - Phone:614-209-3533
Mailing Address - Fax:
Practice Address - Street 1:6834 REFUGEE RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9368
Practice Address - Country:US
Practice Address - Phone:614-209-3533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400288251300000X, 252Y00000X, 385HR2060X, 385HR2065X
251C00000X, 253Z00000X, 347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No347B00000XTransportation ServicesBus
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child