Provider Demographics
NPI:1033507769
Name:CONFIDENT HOPE, INC. DBA BRIGHTSTAR CARE OF S. GREENSBORO
Entity Type:Organization
Organization Name:CONFIDENT HOPE, INC. DBA BRIGHTSTAR CARE OF S. GREENSBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SHEPHERD
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-265-3500
Mailing Address - Street 1:416 GALLIMORE DAIRY RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9528
Mailing Address - Country:US
Mailing Address - Phone:336-265-3500
Mailing Address - Fax:336-265-3505
Practice Address - Street 1:416 GALLIMORE DAIRY RD STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9528
Practice Address - Country:US
Practice Address - Phone:336-265-3500
Practice Address - Fax:336-265-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4707251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health