Bright Star Health Care LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BRIGHT STAR HEALTH CARE LLC

Practice address

144 Milltown Rd
Bridgewater, NJ 08807-2554

Phone

(973) 336-0421

NPI assigned

Sep 6, 2024

Organization subpart

Yes

Parent organization

BRIGHT STAR HORIZON HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Justin K Wilson, PHD-C, NP

Title

Co-Ceo

Phone

(732) 501-7563

Specialties & licenses 6

Addresses

Other identifiers 1

Part of

Brightstar Home Care LLC

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1609601897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MILLTOWN RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072554",
            "telephone_number": "732-501-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MILLTOWN RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072554",
            "telephone_number": "973-336-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT STAR HORIZON HOLDINGS LLC",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "732-501-7563",
        "authorized_official_credential": "PHD-C, NP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801337944",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgeway Assisted Living LLC
• Bridgeway Care at Home, LLC
• Bridgeway, Inc.
• Jennifer Briggs
• Bright Horizon Health Services
• Jordan Brittingham
• Jill Brochinsky
• Sierra-Katherine Brooks, B.A
• Brittany Brown, DPT
• Elena Brown

• Multi-Specialty Clinic/Center in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.