Provider Demographics
NPI:1568787315
Name:PROVEN PROCESS LLC
Entity Type:Organization
Organization Name:PROVEN PROCESS LLC
Other - Org Name:BRIGHTSTAR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BENKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-942-9628
Mailing Address - Street 1:4219 HILLSBORO PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3332
Mailing Address - Country:US
Mailing Address - Phone:615-942-9628
Mailing Address - Fax:615-942-9648
Practice Address - Street 1:4219 HILLSBORO PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3332
Practice Address - Country:US
Practice Address - Phone:615-942-9628
Practice Address - Fax:615-942-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000006059251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445413Medicaid