Organization Active NPI

Brightstars Helping Hands LLC

  • Home Health Agency
  • Port Orange, FL
National Provider Identifier
1568977569
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIGHTSTARS HELPING HANDS LLC
Practice address
3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993
Phone
(216) 347-2897
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Shauntae Gordon
Title
Owner
Phone
(216) 347-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993

Mailing address

3780 Clyde Morris Blvd Apt 1408
Port Orange, FL 32129-8993
Phone (216) 347-2897

Other practice location 1

8133 Garfield Blvd # Up
Garfield Hts, OH 44125-1268
Phone (216) 673-7439

National Provider Directory

National Provider Directory
Tax ID family
Brightstars Helping Hands LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1568977569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 CLYDE MORRIS BLVD APT 1408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298993",
            "telephone_number": "216-347-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 CLYDE MORRIS BLVD APT 1408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298993",
            "telephone_number": "216-347-2897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8133 Garfield Blvd # Up",
            "address_purpose": "LOCATION",
            "city": "Garfield Hts",
            "state": "OH",
            "postal_code": "441251268",
            "country_code": "US",
            "telephone_number": "216-673-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTSTARS HELPING HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHAUNTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-347-2897"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.