Provider Demographics
NPI:1255576161
Name:ANGEL MANAGEMENT, INC DBA BRIGHTSTAR HEALTHCARE
Entity type:Organization
Organization Name:ANGEL MANAGEMENT, INC DBA BRIGHTSTAR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BRUECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-697-3527
Mailing Address - Street 1:750 ROUTE 3 SOUTH
Mailing Address - Street 2:SUITE 8C
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054
Mailing Address - Country:US
Mailing Address - Phone:410-697-3527
Mailing Address - Fax:
Practice Address - Street 1:750 ROUTE 3 SOUTH
Practice Address - Street 2:SUITE 8C
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054
Practice Address - Country:US
Practice Address - Phone:410-697-3527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0811007251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care