Provider Demographics
NPI:1063271534
Name:BRIGHT STAR HOME CARE INC
Entity type:Organization
Organization Name:BRIGHT STAR HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-493-3821
Mailing Address - Street 1:1910 UNIVERSITY AVE W STE C
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3426
Mailing Address - Country:US
Mailing Address - Phone:704-493-3821
Mailing Address - Fax:
Practice Address - Street 1:1910 UNIVERSITY AVE W STE C
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3426
Practice Address - Country:US
Practice Address - Phone:704-493-3821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health