Organization Active NPI

Star Inc Lighting the Way

  • Developmentally Disabled Services Day Training Agency
  • Norwalk, CT
National Provider Identifier
1083834642
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
STAR INC LIGHTING THE WAY
Practice address
208 East Ave
Norwalk, CT 06855-1208
Phone
(203) 855-0634
Fax
(203) 855-0637
NPI assigned
Apr 26, 2007
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katie Banzhaf
Title
Executive Director
Phone
(203) 846-9581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

208 East Ave
Norwalk, CT 06855-1208

Mailing address

182 Wolfpit Ave
Norwalk, CT 06851-3436
Phone (203) 846-9581

Other identifiers 1

IdentifierTypeStateIssuer
004186004MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Star Inc Lighting the Way2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

208 East Ave
Norwalk, CT 06855
Phone (203) 855-0634

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1083834642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WOLFPIT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513436",
            "telephone_number": "203-846-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551208",
            "telephone_number": "203-855-0634",
            "fax_number": "203-855-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR INC LIGHTING THE WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BANZHAF",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-846-9581"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004186004",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.