Provider Demographics
NPI:1568977569
Name:BRIGHTSTARS HELPING HANDS LLC
Entity Type:Organization
Organization Name:BRIGHTSTARS HELPING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-347-2897
Mailing Address - Street 1:3780 CLYDE MORRIS BLVD APT 1408
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-8993
Mailing Address - Country:US
Mailing Address - Phone:216-347-2897
Mailing Address - Fax:
Practice Address - Street 1:3780 CLYDE MORRIS BLVD APT 1408
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-8993
Practice Address - Country:US
Practice Address - Phone:216-347-2897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health