Organization Active NPI

Sforest, Inc.

Doing business as Brightstar Care of South Puget Sound

  • Home Health Agency
  • Tumwater, WA
National Provider Identifier
1427502210
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHS.FS.60653551 Issued in WA
Legal business name
SFOREST, INC.
Doing business as
Brightstar Care of South Puget Sound
Practice address
116 Lee St SE
Suite C
Tumwater, WA 98501-6721
Phone
(360) 915-6183
Fax
(360) 972-2365
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Ms. Shelly Louise Forest
Title
President/Owner
Phone
(360) 264-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHS.FS.60653551 WA Primary

Addresses

Primary practice location

116 Lee St SE
Suite C
Tumwater, WA 98501-6721

Mailing address

116 Lee St SE
Suite C
Tumwater, WA 98501-6721
Phone (360) 915-6183

Other names 1

  • BRIGHTSTAR CARE OF SOUTH PUGET SOUND Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2138557Bright Star Care of South Puget Sound116 Lee St SE Ste C, Tumwater, WA 98501Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

116 Lee St SE
Ste C
Tumwater, WA 98501
Phone (360) 915-6183

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1427502210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LEE ST SE",
            "address_2": "SUITE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016721",
            "telephone_number": "360-915-6183",
            "fax_number": "360-972-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LEE ST SE",
            "address_2": "SUITE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016721",
            "telephone_number": "360-915-6183",
            "fax_number": "360-972-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFOREST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-264-2402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.60653551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTSTAR CARE OF SOUTH PUGET SOUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.