A Stellar Life LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

8292HHA-0 Issued in NV

Legal business name

A STELLAR LIFE LLC

Doing business as

BrightStar Care of Henderson

Practice address

40 E Horizon Ridge Pkwy Ste 103
Henderson, NV 89002-7930

Phone

(702) 608-8811

Fax

(702) 608-8598

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane L McIntyreNPI 1578956553

Title

Owner / Administrator

Phone

(702) 608-8811

Specialties & licenses 1

Addresses

Other names 1

• BrightStar Care of Henderson Doing business as

Locations

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.

• Diane McIntyre

  • In Home Supportive Care Agency
  • Henderson, NV
  • NPI 1578956553
  NPD (past) Authorized official

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1619349602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E HORIZON RIDGE PKWY STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027930",
            "telephone_number": "702-608-8811",
            "fax_number": "702-608-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E HORIZON RIDGE PKWY STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027930",
            "telephone_number": "702-608-8811",
            "fax_number": "702-608-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STELLAR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "702-608-8811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8292HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Henderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Henderson, NV
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• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.