Organization Active NPI

Davis Managed Services, Inc.

Doing business as BrightStar - Fort Worth

  • Home Health Agency
  • Keller, TX
National Provider Identifier
1437589850
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAVIS MANAGED SERVICES, INC.
Doing business as
BrightStar - Fort Worth
Practice address
2312 Beacon Hill Dr
Keller, TX 76248-8454
Phone
(817) 729-4835
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Kristopher Scott Davis
Title
Vice President
Phone
(817) 729-4835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2312 Beacon Hill Dr
Keller, TX 76248-8454

Mailing address

2312 Beacon Hill Dr
Keller, TX 76248-8454
Phone (817) 729-4835

Other names 1

  • BrightStar - Fort Worth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brightstar - Fort Worth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1437589850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 BEACON HILL DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488454",
            "telephone_number": "817-729-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 BEACON HILL DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488454",
            "telephone_number": "817-729-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MANAGED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-729-4835"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar - Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.