A BRIGHTSTART SERVICES INC NPI 1760021836

NPI Information

NPI: 1760021836
Provider Name: A BRIGHTSTART SERVICES INC

Doing Business As: BRIGHTSTAR HOME HEALTHCARE

Classification: Respite Care - 385H00000X
Entity Type: Organization

Address:
2903 ALYSON WAY
GRAND PRAIRIE, TX
ZIP 75052
Phone: (817) 933-9185
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A BRIGHTSTART SERVICES INC is a respite care in Grand Prairie, TX. A BRIGHTSTART SERVICES INC NPI is 1760021836. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightstar Home Healthcare.

The provider's business location address is:

2903 ALYSON WAY
GRAND PRAIRIE, TX
ZIP 75052-429
Phone: (817) 933-9185
Fax: (817) 417-0503

The provider's authorized official is Lolin Nyokabi Stevenson .
The authorized official title is Administrator and has the following contact phone number (817) 933-9185.

The CLIA number assigned to this NPI record is 45D2236187 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 9/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	253Z00000X	In Home Supportive Care		No
3	3747P1801X	Technician	Personal Care Attendant	No
4	385H00000X	Respite Care		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1760021836	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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