Reach for the Stars Case Management

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REACH FOR THE STARS CASE MANAGEMENT

Practice address

103 Tammie TRL
Campbellsville, KY 42718-3310

Phone

(270) 789-9216

Fax

(270) 469-0914

NPI assigned

Nov 22, 2010

Organization subpart

Yes

Parent organization

TRI-GENERATIONS LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Karen S Gardner

Title

Executive Director

Phone

(270) 789-9216

Specialties & licenses 1

Addresses

Part of

Tri-Generations LLC Central Ky

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tri-Generations LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Campbellsville, KY
  • NPI 1427261486
  NPPES parent name

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1356643548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TAMMIE TRL",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183310",
            "telephone_number": "270-789-9216",
            "fax_number": "270-469-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TAMMIE TRL",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183310",
            "telephone_number": "270-789-9216",
            "fax_number": "270-469-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH FOR THE STARS CASE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-GENERATIONS LLC",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-789-9216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca H. Price, LPCC, LCADC
• Carey Daneal Pyles
• Kristie Higdon Railey, MS CCC/SLP
• Justin Michael Ramos, MS, LAT, ATC
• Raymond a. Roberts, D.C., PSC
• William Patrick Reed
• Ashlyn Rehner, PA
• Mitzi Ella Reynolds
• Debbie G. Richard, PH.D.
• David Richardson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.