NPIMap

Organization Active NPI

Brightstars Helping Hands LLC

  • In Home Supportive Care Agency
  • Port Orange, FL
National Provider Identifier
1295302727
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIGHTSTARS HELPING HANDS LLC
Practice address
3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993
Phone
(386) 265-4828
NPI assigned
Jun 3, 2021
Last updated
Nov 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Authorized official

Name
Shauntae Gordon
Title
Owner
Phone
(386) 265-4828

Specialties & licenses 1

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

Addresses

Primary practice location

3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993

Mailing address

3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993
Phone (386) 265-4828

Other names 1

  • Brightstars Helping Hands LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Brightstars Helping Hands LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1295302727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 CLYDE MORRIS BLVD APT 1408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298993",
            "telephone_number": "386-265-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 CLYDE MORRIS BLVD APT 1408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298993",
            "telephone_number": "386-265-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTARS HELPING HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHAUNTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-265-4828"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstars Helping Hands LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Brightstars Helping Hands LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.