Provider Demographics
NPI:1538969993
Name:BRIGHT STAR HOME CARE, LLC.
Entity type:Organization
Organization Name:BRIGHT STAR HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TELEMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIULUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-250-3148
Mailing Address - Street 1:416 OKLAHOMA ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-1955
Mailing Address - Country:US
Mailing Address - Phone:907-250-3148
Mailing Address - Fax:
Practice Address - Street 1:416 OKLAHOMA ST UNIT 1
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1955
Practice Address - Country:US
Practice Address - Phone:907-250-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility