Brightstar Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIGHTSTAR HOME CARE LLC

Doing business as

BRIGHTSTAR HOME CARE

Practice address

776 Mountain Blvd Ste 106
Watchung, NJ 07069-6269

Phone

(732) 501-7563

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Justin K Wilson, NURSE PRACTITIONERNPI 1801337944

Title

Vice President

Phone

(732) 501-7563

Specialties & licenses 2

Addresses

Other names 2

• BRIGHTSTAR HOME CARE Doing business as
• BRIGHT STAR HOME CARE Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin K. Wilson, MSN, MPA, NP-C

  • Adult Health Nurse Practitioner
  • Seattle, WA
  • NPI 1801337944
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1588489199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 MOUNTAIN BLVD STE 106",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696269",
            "telephone_number": "732-501-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 MOUNTAIN BLVD STE 106",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696269",
            "telephone_number": "732-501-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-501-7563",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTSTAR HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHT STAR HOME CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tara D Bisson, LCSW
• BJ'S Wholesale Club Inc.
• BJS Wholesale Club Inc
• Kristen Marie Brady, LSW
• Brandywine Senior Living at Mountain Ridge, LLC
• Raymond Stanley Briski, M.D.
• Jenny Ann Brown, HIS
• Karen Ann Burger, M.D.
• Donald Joseph Byk, DMD
• Calm and Sense - Watchung

• Home Health Agency in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.