Provider Demographics
NPI:1457543498
Name:REACHING FOR THE STARS EDUCATIONAL INTERVENTION SERVICES
Entity Type:Organization
Organization Name:REACHING FOR THE STARS EDUCATIONAL INTERVENTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CONSULTANT - PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-740-5115
Mailing Address - Street 1:31632 N ELLIS DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:VOLO
Mailing Address - State:IL
Mailing Address - Zip Code:60073-9671
Mailing Address - Country:US
Mailing Address - Phone:847-740-5115
Mailing Address - Fax:847-740-5274
Practice Address - Street 1:31632 N ELLIS DR
Practice Address - Street 2:SUITE 213
Practice Address - City:VOLO
Practice Address - State:IL
Practice Address - Zip Code:60073-9671
Practice Address - Country:US
Practice Address - Phone:847-740-5115
Practice Address - Fax:847-740-5274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health