Organization Active NPI

Roth II Enterprises Corp

Doing business as BrightStar Care of Phoenix

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1255646329
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROTH II ENTERPRISES CORP
Doing business as
BrightStar Care of Phoenix
Practice address
1702 E Highland Ave
Phoenix, AZ 85016-4664
Phone
(602) 535-4737
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Mr. Mark A Roth
Title
Owner / President
Phone
(602) 535-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1702 E Highland Ave
Phoenix, AZ 85016-4664

Mailing address

1702 E Highland Ave
Phoenix, AZ 85016-4664
Phone (602) 535-4737

Other names 1

  • BrightStar Care of Phoenix Doing business as

National Provider Directory

National Provider Directory

Locations

1702 E Highland Ave
Phoenix, AZ 85016
Phone (602) 535-4737

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1255646329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164664",
            "telephone_number": "602-535-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164664",
            "telephone_number": "602-535-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH II ENTERPRISES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "602-535-4737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.