Provider Demographics
NPI:1346402138
Name:RISING STAR STUDIOS OF KENTUCKY, INC.
Entity Type:Organization
Organization Name:RISING STAR STUDIOS OF KENTUCKY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-291-2999
Mailing Address - Street 1:3611 DECOURSEY AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-1437
Mailing Address - Country:US
Mailing Address - Phone:859-291-2999
Mailing Address - Fax:
Practice Address - Street 1:701 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-1244
Practice Address - Country:US
Practice Address - Phone:859-291-2999
Practice Address - Fax:859-291-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child