Organization Active NPI

Minahan Family Enterprises,Inc.

Doing business as BrightStar Healthcare

  • In Home Supportive Care Agency
  • Saint Peters, MO
National Provider Identifier
1225279219
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MINAHAN FAMILY ENTERPRISES,INC.
Doing business as
BrightStar Healthcare
Practice address
1000 Mid Rivers Mall Dr
Saint Peters, MO 63376-2171
Phone
(636) 244-4567
Fax
(636) 244-4572
NPI assigned
Mar 20, 2009
Last updated
Mar 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Mr. Timothy Robert Minahan
Title
President
Phone
(636) 244-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1000 Mid Rivers Mall Dr
Saint Peters, MO 63376-2171

Mailing address

1000 Mid Rivers Mall Dr
Saint Peters, MO 63376-2171
Phone (636) 244-4567

Other names 1

  • BrightStar Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 244-4567

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1225279219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-244-4567",
            "fax_number": "636-244-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-244-4567",
            "fax_number": "636-244-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINAHAN FAMILY ENTERPRISES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "MINAHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-244-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.