Provider Demographics
NPI:1508342478
Name:BRIGHT STAR HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BRIGHT STAR HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABURAHMAN
Authorized Official - Middle Name:SAID
Authorized Official - Last Name:ABUBAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-300-0914
Mailing Address - Street 1:753 CROSS POINTE RD STE H
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-7046
Mailing Address - Country:US
Mailing Address - Phone:614-930-6665
Mailing Address - Fax:614-930-6665
Practice Address - Street 1:753 CROSS POINTE RD STE H
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-7046
Practice Address - Country:US
Practice Address - Phone:614-930-6665
Practice Address - Fax:614-930-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health