Beachstar Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4476 Issued in NC

Legal business name

BEACHSTAR HEALTHCARE LLC

Doing business as

BrightStar of Brunswick/New Hanover

Practice address

1022 Grandiflora Dr
Suite 240
Leland, NC 28451-7007

Phone

(910) 599-9555

Fax

(910) 599-9557

NPI assigned

Nov 11, 2011

Last updated

Nov 11, 2011By 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. Ashley S. Park

Title

President/Owner

Phone

(910) 599-9555

Specialties & licenses 1

Addresses

Other names 1

• BrightStar of Brunswick/New Hanover Doing business as

Locations

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1649557174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 GRANDIFLORA DR",
            "address_2": "SUITE 240",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517007",
            "telephone_number": "910-599-9555",
            "fax_number": "910-599-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 GRANDIFLORA DR",
            "address_2": "SUITE 240",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517007",
            "telephone_number": "910-599-9555",
            "fax_number": "910-599-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSTAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-599-9555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Brunswick/New Hanover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Benjamin Koren, DDS VI PA (Leland Orthodontics)
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• In Home Supportive Care Agency in Leland, NC
• Providers in Leland, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.