Organization Active NPI

Brighstar Home Health Care Inc.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1366816308
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
31934 Issued in MN
Legal business name
BRIGHSTAR HOME HEALTH CARE INC.
Practice address
1808 Riverside Ave Ste 205
Minneapolis, MN 55454-1121
Phone
(612) 221-1986
Fax
(612) 673-0379
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ilham A Hussein, BACHOLAR'S DEGREE
Title
President
Phone
(612) 221-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 31934 MN Primary

Addresses

Primary practice location

1808 Riverside Ave Ste 205
Minneapolis, MN 55454-1121

Mailing address

1808 Riverside Ave Ste 205
Minneapolis, MN 55454-1121
Phone (612) 221-1986

Other identifiers 1

IdentifierTypeStateIssuer
31934OtherMNMINNESOTA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

1808 Riverside Ave
Ste 205
Minneapolis, MN 55454
Phone (612) 221-1986

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1366816308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 RIVERSIDE AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541121",
            "telephone_number": "612-221-1986",
            "fax_number": "612-673-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 RIVERSIDE AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541121",
            "telephone_number": "612-221-1986",
            "fax_number": "612-673-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHSTAR HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ILHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-221-1986",
        "authorized_official_credential": "BACHOLAR'S DEGREE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "31934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH",
            "identifier": "31934",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.