Provider Demographics
NPI:1730636507
Name:CAMAHALODE, INC.
Entity Type:Organization
Organization Name:CAMAHALODE, INC.
Other - Org Name:BRIGHTSTAR CARE OF SOUTH BUCKS AND SOUTHEAST MONTGOMERY COUNTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:SIERKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-696-0389
Mailing Address - Street 1:80 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3027
Mailing Address - Country:US
Mailing Address - Phone:215-696-0389
Mailing Address - Fax:
Practice Address - Street 1:708 LAKESIDE PARK
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4020
Practice Address - Country:US
Practice Address - Phone:215-750-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05310501251E00000X
PA12993601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health