Provider Demographics
NPI:1972761914
Name:BRIGHTSTAR HEALTHCARE
Entity Type:Organization
Organization Name:BRIGHTSTAR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:VASSAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-747-2262
Mailing Address - Street 1:111 E 5600 S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6174
Mailing Address - Country:US
Mailing Address - Phone:801-747-2262
Mailing Address - Fax:
Practice Address - Street 1:111 E 5600 S
Practice Address - Street 2:SUITE 300
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6174
Practice Address - Country:US
Practice Address - Phone:801-747-2262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health