Functional Therapeutics Inc Dba Brightstar Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FUNCTIONAL THERAPEUTICS INC DBA BRIGHTSTAR HEALTHCARE

Practice address

5261 N Port Washington Rd Ste 201
Glendale, WI 53217-4903

Phone

(414) 332-3884

Fax

(414) 332-3887

NPI assigned

Sep 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Orest Carnevale, RN

Title

President

Phone

(414) 332-3884

Specialties & licenses 1

Addresses

Other names 1

• BrightStar Healthcare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1063662773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 N PORT WASHINGTON RD STE 201",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174903",
            "telephone_number": "414-332-3884",
            "fax_number": "414-332-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 N PORT WASHINGTON RD STE 201",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174903",
            "telephone_number": "414-332-3884",
            "fax_number": "414-332-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPEUTICS INC DBA BRIGHTSTAR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "OREST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-332-3884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gateway Personal Care Agency LLC.

• Home Health Agency in Glendale, WI
• Providers in Glendale, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.