Provider Demographics
NPI:1508129933
Name:CUMARE LLC
Entity Type:Organization
Organization Name:CUMARE LLC
Other - Org Name:BRIGHTSTAR OF NORTH MILWAUKEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:EYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-416-4908
Mailing Address - Street 1:5594 N HOLLYWOOD AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5208
Mailing Address - Country:US
Mailing Address - Phone:414-944-0280
Mailing Address - Fax:414-944-0281
Practice Address - Street 1:5594 N HOLLYWOOD AVE STE 210
Practice Address - Street 2:
Practice Address - City:WHITEFISH BAY
Practice Address - State:WI
Practice Address - Zip Code:53217-5208
Practice Address - Country:US
Practice Address - Phone:414-944-0280
Practice Address - Fax:414-944-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care