Provider Demographics
NPI:1699004549
Name:CST CARE SERVICES INC
Entity Type:Organization
Organization Name:CST CARE SERVICES INC
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TZIANABOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-404-1100
Mailing Address - Street 1:1600 PROVIDENCE HWY
Mailing Address - Street 2:SUITE 122
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2553
Mailing Address - Country:US
Mailing Address - Phone:508-404-1100
Mailing Address - Fax:508-404-1135
Practice Address - Street 1:1600 PROVIDENCE HWY
Practice Address - Street 2:SUITE 122
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2553
Practice Address - Country:US
Practice Address - Phone:508-404-1100
Practice Address - Fax:508-404-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8042251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care