Tidewater Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TIDEWATER HEALTHCARE SERVICES, INC

Doing business as

Brightstar Healthcare

Practice address

1214 Progressive Dr
Suite 102
Chesapeake, VA 23320-2848

Phone

(757) 227-4047

Fax

(757) 227-4109

NPI assigned

Mar 14, 2009

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Michael Walton

Title

President

Phone

(757) 227-4047

Specialties & licenses 2

Addresses

Other names 1

• Brightstar Healthcare Doing business as

Locations

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1316188733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 PROGRESSIVE DR",
            "address_2": "SUITE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202848",
            "telephone_number": "757-227-4047",
            "fax_number": "757-227-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 PROGRESSIVE DR",
            "address_2": "SUITE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202848",
            "telephone_number": "757-227-4047",
            "fax_number": "757-227-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-14",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-227-4047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tidewater Emergency Medical Care (Chesapeake Emergency Physicians)
• Tidewater Emergency Medical Care, LTD. (Chesapeake Emergency Physicians)
• Tidewater Endocrine Consultants, PC
• Tidewater Endocrinology LLC (Endocrinology and Diabetes Center)
• Tidewater Family Medical Care, PC
• Tidewater Home Modifiers LLC
• Tidewater Internal Medicine and Hypertension Center. PLC
• Tidewater Medical Clinic PC
• Tidewater Medical Supply, Inc
• Tidewater Physical Therapy, Inc.

• Home Health Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.