Provider Demographics
NPI:1689983736
Name:RGB INCORPORATED
Entity Type:Organization
Organization Name:RGB INCORPORATED
Other - Org Name:BRIGHTSTAR OF GREENWICH/STAMFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-984-4899
Mailing Address - Street 1:45 CHURCH STREET
Mailing Address - Street 2:SUITE 302F
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06906-1733
Mailing Address - Country:US
Mailing Address - Phone:203-883-8560
Mailing Address - Fax:203-883-8563
Practice Address - Street 1:45 CHURCH STREET
Practice Address - Street 2:SUITE 302F
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906-1733
Practice Address - Country:US
Practice Address - Phone:203-883-8560
Practice Address - Fax:203-883-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT#HCA.0000481251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health