Provider Demographics
NPI:1033541891
Name:BRIGHTSTAR HOMES & SERVICES INC.
Entity Type:Organization
Organization Name:BRIGHTSTAR HOMES & SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-491-1561
Mailing Address - Street 1:148 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8737
Mailing Address - Country:US
Mailing Address - Phone:678-491-1561
Mailing Address - Fax:404-507-4823
Practice Address - Street 1:148 SUMMIT VIEW DRIVE
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253
Practice Address - Country:US
Practice Address - Phone:678-491-1561
Practice Address - Fax:404-507-4823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA999212919CMedicaid