Provider Demographics
NPI:1457517161
Name:VALLEYSTAR, INC.
Entity Type:Organization
Organization Name:VALLEYSTAR, INC.
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-761-4700
Mailing Address - Street 1:6442 COLDWATER CANYON AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1137
Mailing Address - Country:US
Mailing Address - Phone:818-761-4700
Mailing Address - Fax:818-761-5567
Practice Address - Street 1:6442 COLDWATER CANYON AVE STE 111
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1137
Practice Address - Country:US
Practice Address - Phone:818-761-4700
Practice Address - Fax:818-761-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health