Innovation Life Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20053601 Issued in PA

Legal business name

INNOVATION LIFE CARE, LLC

Doing business as

Brightstar of Wilkes Barre

Practice address

561 N Main St
Pittston, PA 18640-2203

Phone

(570) 602-1560

Fax

(570) 602-1569

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Scarantino

Title

President

Phone

(570) 362-8725

Specialties & licenses 1

Addresses

Other names 1

• Brightstar of Wilkes Barre Doing business as

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1356651533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402203",
            "telephone_number": "570-602-1560",
            "fax_number": "570-602-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402203",
            "telephone_number": "570-602-1560",
            "fax_number": "570-602-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SCARANTINO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-362-8725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "20053601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar of Wilkes Barre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Marie Hintze
• Katelyn Hopkins
• Kelsey Hoxsie
• Felicia Lynn Hydock, FNP
• Salvatore J Infantino, DMD
• Cynthia Ann Iyoob, MS,RD,LDN
• Linda Carol Jackson, M.D.
• Kayla Rose Jacobson
• Denis Armand Jacques, DDS
• James Patrick Bozzuto

• Home Health Agency in Pittston, PA
• Providers in Pittston, PA by specialty
• Home Health Agency in Pennsylvania

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