Active NPI
Ammd Ventures Inc
Doing business as Brightstar Healthcare
- Home Health Agency
- Jacksonville, FL
National Provider Identifier
1194972315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMMD VENTURES INC
- Doing business as
- Brightstar Healthcare
- Practice address
- 4651 Salisbury Rd
Suite 452
Jacksonville, FL 32256-6107 - Phone
- (904) 838-6148
- NPI assigned
- Aug 19, 2008
- 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
- Rose Ruscitto
- Title
- President
- Phone
- (904) 838-6148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4651 Salisbury Rd
Suite 452
Jacksonville, FL 32256-6107
Mailing address
464 Sebastian SQ
Saint Augustine, FL 32095-6863
Phone (904) 826-3666
Other names 1
- Brightstar Healthcare
National Provider Directory
National Provider DirectoryLocations
4651 Salisbury Rd
Ste 452
Jacksonville, FL 32256
Phone (904) 838-6148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1194972315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 SEBASTIAN SQ",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320956863",
"telephone_number": "904-826-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SALISBURY RD",
"address_2": "SUITE 452",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566107",
"telephone_number": "904-838-6148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMMD VENTURES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "RUSCITTO",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-838-6148"
},
"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"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.