Provider Demographics
NPI:1194445213
Name:STARFISH PATHWAYS
Entity type:Organization
Organization Name:STARFISH PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-335-2473
Mailing Address - Street 1:620 GRANDVIEW MDWS DR UNIT D301
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8940
Mailing Address - Country:US
Mailing Address - Phone:630-335-2473
Mailing Address - Fax:
Practice Address - Street 1:490 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1253
Practice Address - Country:US
Practice Address - Phone:630-335-2473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care