Bright Star Community Service

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BRIGHT STAR COMMUNITY SERVICE

Practice address

14735 105TH PL N
Maple Grove, MN 55369

Phone

(952) 221-8515

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Fardosa Y Hussein

Title

Owner

Phone

(952) 221-8515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1700764982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14735 105TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "952-221-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14735 105TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "952-221-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "FARDOSA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-221-8515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jacklyn Breault
• Jennifer Bremer, RD, LD
• Lauren Grace Brenny, MS, LPC
• Brent Richter Consulting, LLC
• Megan Ileen Brezinski
• Brighthouse Assisted Living LLC
• John Brink
• Sally Rose Brinza, PHD LP
• Ashley Kay Brisbin
• Blythe Brislance-Nelson, RN

• In Home Supportive Care Agency in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.