Provider Demographics
NPI:1508193699
Name:BERBERICH HEALTH ENTERPRISES LLC
Entity Type:Organization
Organization Name:BERBERICH HEALTH ENTERPRISES LLC
Other - Org Name:BRIGHTSTAR HEALTHCARE OF BALTIMORE CITY/ COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:KATHRINA
Authorized Official - Last Name:BERBERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-275-2796
Mailing Address - Street 1:1615 YORK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5600
Mailing Address - Country:US
Mailing Address - Phone:443-275-2796
Mailing Address - Fax:443-275-2806
Practice Address - Street 1:1615 YORK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5600
Practice Address - Country:US
Practice Address - Phone:443-275-2796
Practice Address - Fax:443-275-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD091004251E00000X
MD0911001251J00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care