Provider Demographics
NPI:1770974396
Name:BRIGHTSTAR CARE OF CARY
Entity type:Organization
Organization Name:BRIGHTSTAR CARE OF CARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEMENY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-535-6787
Mailing Address - Street 1:102 COMMONWEALTH CT STE K
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4437
Mailing Address - Country:US
Mailing Address - Phone:919-535-6787
Mailing Address - Fax:919-650-1345
Practice Address - Street 1:102 COMMONWEALTH CT STE K
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4437
Practice Address - Country:US
Practice Address - Phone:919-535-6787
Practice Address - Fax:919-650-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4719251F00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care