Provider Demographics
NPI:1376255026
Name:BRIGHTSTAR CARE OF SOUTH BUCKS AND SOUTHEAST MONTGOMERY COUNTIES
Entity Type:Organization
Organization Name:BRIGHTSTAR CARE OF SOUTH BUCKS AND SOUTHEAST MONTGOMERY COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-750-8802
Mailing Address - Street 1:1950 STREET RD STE 315
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3751
Mailing Address - Country:US
Mailing Address - Phone:215-750-8803
Mailing Address - Fax:215-750-8803
Practice Address - Street 1:1950 STREET RD STE 315
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3751
Practice Address - Country:US
Practice Address - Phone:215-750-8803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health