Organization Active NPI

Brightstar Senior Care, Inc

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1255112207
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIGHTSTAR SENIOR CARE, INC
Practice address
10455 Gaynor Ave
Granada Hills, CA 91344-7025
Phone
(818) 517-0544
Fax
(818) 810-6913
NPI assigned
Oct 6, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Ayedeh Allahdadi
Title
President
Phone
(818) 517-0544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10455 Gaynor Ave
Granada Hills, CA 91344-7025

Mailing address

10455 Gaynor Ave
Granada Hills, CA 91344-7025
Phone (818) 517-0544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1255112207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 GAYNOR AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447025",
            "telephone_number": "818-517-0544",
            "fax_number": "818-810-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 GAYNOR AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447025",
            "telephone_number": "818-517-0544",
            "fax_number": "818-810-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR SENIOR CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "ALLAHDADI",
        "authorized_official_first_name": "AYEDEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-517-0544"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.