NPIMap

Organization Active NPI

Hoblackjones Incorporated

Doing business as BrightStar of Stroudsburg

  • Home Health Agency
  • Stroudsburg, PA
National Provider Identifier
1720215494
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04730501 Issued in PA
Legal business name
HOBLACKJONES INCORPORATED
Doing business as
BrightStar of Stroudsburg
Practice address
6258 Route 209
Suite 2
Stroudsburg, PA 18360-7159
Phone
(570) 223-2248
Fax
(570) 231-7655
NPI assigned
Jun 19, 2009
Last updated
Sep 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Mrs. Carolyn Susan Jones, R.N.C., MSN/MBA
Title
President
Phone
(570) 223-2248

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN326286L PA
Home Health Agency 251E00000X 04730501 PA Primary
Nursing Care Agency 251J00000X 04730501 PA
In Home Supportive Care Agency 253Z00000X 14273601 PA

Addresses

Primary practice location

6258 Route 209
Suite 2
Stroudsburg, PA 18360-7159

Mailing address

6258 Route 209
Suite 2
Stroudsburg, PA 18360-7159
Phone (570) 223-2248

Other identifiers 3

IdentifierTypeStateIssuer
10236602002OtherPAPENSYLVANIA WAIVER PROVIDER - LOCATION 0002 - MPI NUMBER
1023866020001OtherPAPENSYLVANIA WAIVER PROVIDER - LOCATION 0001 - MPI NUMBER
1023866020003OtherPAPENSYLVANIA WAIVER PROVIDER - LOCATION 0003 - MPI NUMBER

Other names 1

  • BrightStar of Stroudsburg Doing business as

National Provider Directory

National Provider Directory

Locations

6258 Route 209
Fl 2
Stroudsburg, PA 18360
Phone (570) 223-2248

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1720215494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 ROUTE 209",
            "address_2": "SUITE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607159",
            "telephone_number": "570-223-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 ROUTE 209",
            "address_2": "SUITE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607159",
            "telephone_number": "570-223-2248",
            "fax_number": "570-231-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBLACKJONES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-223-2248",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.C., MSN/MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "RN326286L",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04730501",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "04730501",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "14273601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENSYLVANIA WAIVER PROVIDER - LOCATION 0002 - MPI NUMBER",
            "identifier": "10236602002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENSYLVANIA WAIVER PROVIDER - LOCATION 0001 - MPI NUMBER",
            "identifier": "1023866020001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENSYLVANIA WAIVER PROVIDER - LOCATION 0003 - MPI NUMBER",
            "identifier": "1023866020003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Stroudsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.