Provider Demographics
NPI:1427226992
Name:OWENS ENTERPRISES OF THE CAROLINAS, INC.
Entity Type:Organization
Organization Name:OWENS ENTERPRISES OF THE CAROLINAS, INC.
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-405-0700
Mailing Address - Street 1:1361 E MOREHEAD ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2937
Mailing Address - Country:US
Mailing Address - Phone:704-405-0700
Mailing Address - Fax:704-405-0701
Practice Address - Street 1:1361 E MOREHEAD ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2937
Practice Address - Country:US
Practice Address - Phone:704-405-0700
Practice Address - Fax:704-405-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3719251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health