Active NPI
Sforest, Inc.
Doing business as Brightstar Care of South Puget Sound
- Home Health Agency
- Tumwater, WA
National Provider Identifier
1427502210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IHS.FS.60653551
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2138557 | Bright Star Care of South Puget Sound | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.