Active NPI
CWS Care LLC.
Doing business as BrightStar Care of Provo
- Home Health Agency
- Lindon, UT
National Provider Identifier
1003694092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CWS CARE LLC.
- Doing business as
- BrightStar Care of Provo
BrightStar Care of Provo Skilled - Practice address
- 193 N 290 W
Lindon, UT 84042-5001 - Phone
- (313) 590-1240
- NPI assigned
- Sep 20, 2023
- Last updated
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Celena Wadiak, REGISTERED NURSE
- Title
- Owner
- Phone
- (313) 590-1240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
193 N 290 W
Lindon, UT 84042-5001
Mailing address
193 N 290 W
Lindon, UT 84042-5001
Phone (313) 590-1240
Other names 2
- BrightStar Care of Provo
- BrightStar Care of Provo Skilled
National Provider Directory
National Provider DirectoryLocations
193 N 290 W
Lindon, UT 84042
Phone (313) 590-1240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1003694092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 N 290 W",
"city": "LINDON",
"state": "UT",
"postal_code": "840425001",
"telephone_number": "313-590-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 N 290 W",
"city": "LINDON",
"state": "UT",
"postal_code": "840425001",
"telephone_number": "313-590-1240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CWS CARE LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A",
"authorized_official_last_name": "WADIAK",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "CELENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-590-1240",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar Care of Provo",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BrightStar Care of Provo Skilled",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.