Provider Demographics
NPI:1336470525
Name:MYSTAR CORPORATION DBA BRIGHTSTAR OF HARTFORD
Entity Type:Organization
Organization Name:MYSTAR CORPORATION DBA BRIGHTSTAR OF HARTFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:E HUHN
Authorized Official - Last Name:PARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-758-7600
Mailing Address - Street 1:66 N. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078
Mailing Address - Country:US
Mailing Address - Phone:860-758-7600
Mailing Address - Fax:860-758-7602
Practice Address - Street 1:66 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06078
Practice Address - Country:US
Practice Address - Phone:860-758-7600
Practice Address - Fax:860-758-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2021-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000412251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health