Provider Demographics
NPI:1790197713
Name:GARDEN STATE HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:GARDEN STATE HEALTH SOLUTIONS LLC
Other - Org Name:BRIGHTSTAR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TIMONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-447-1176
Mailing Address - Street 1:560 SPRINGFIELD AVE
Mailing Address - Street 2:2ND FLOOR SUITE G
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1024
Mailing Address - Country:US
Mailing Address - Phone:908-322-8200
Mailing Address - Fax:
Practice Address - Street 1:560 SPRINGFIELD AVE
Practice Address - Street 2:SECOND FLOOR, SUITE G
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1024
Practice Address - Country:US
Practice Address - Phone:908-322-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-26
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health