Broadmoor Healthcare Holdings, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

015640 Issued in TX

Legal business name

BROADMOOR HEALTHCARE HOLDINGS, LLC

Doing business as

BrightStar Healthcare

Practice address

1317 Picadilly Dr Ste B201
Pflugerville, TX 78660-1891

Phone

(512) 452-9800

Fax

(512) 452-9801

NPI assigned

Feb 7, 2008

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Sanchez

Title

President

Phone

(512) 452-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BrightStar Healthcare Doing business as

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1083892442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 PICADILLY DR STE B201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601891",
            "telephone_number": "512-452-9800",
            "fax_number": "512-452-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 PICADILLY DR STE B201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601891",
            "telephone_number": "512-452-9800",
            "fax_number": "512-452-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMOOR HEALTHCARE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-452-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247462-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DADS",
            "identifier": "015640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.