Provider Demographics
NPI:1851722961
Name:DDD VENTURES, INC.
Entity Type:Organization
Organization Name:DDD VENTURES, INC.
Other - Org Name:DBA BRIGHTSTAR CARE OF FLOWER MOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-543-3607
Mailing Address - Street 1:581 JERNIGAN RD
Mailing Address - Street 2:
Mailing Address - City:COPPER CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:75077-8596
Mailing Address - Country:US
Mailing Address - Phone:214-543-3607
Mailing Address - Fax:
Practice Address - Street 1:2609 SAGEBRUSH DR STE 204
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4670
Practice Address - Country:US
Practice Address - Phone:214-543-3607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-29
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care