Provider Demographics
NPI:1104661313
Name:ACHIEVING STARS HI LLC
Entity type:Organization
Organization Name:ACHIEVING STARS HI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-455-1123
Mailing Address - Street 1:1133 SAGE ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4820
Mailing Address - Country:US
Mailing Address - Phone:609-455-1123
Mailing Address - Fax:
Practice Address - Street 1:900 FORT STREET MALL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3721
Practice Address - Country:US
Practice Address - Phone:833-666-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty