Provider Demographics
NPI:1891092896
Name:SPARKLING STARS DAY CARE, INC.
Entity type:Organization
Organization Name:SPARKLING STARS DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHASOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-441-8191
Mailing Address - Street 1:11524 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1717
Mailing Address - Country:US
Mailing Address - Phone:718-441-8191
Mailing Address - Fax:
Practice Address - Street 1:11524 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1717
Practice Address - Country:US
Practice Address - Phone:718-441-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency