Camahalode, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

12993601 Issued in PA

Legal business name

CAMAHALODE, INC.

Doing business as

BrightStar Care of South Bucks and Southeast Montgomery Counties

Practice address

708 Lakeside Park
Southampton, PA 18966-4020

Phone

(215) 750-8802

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Eric Carl Sierka

Title

President/Owner

Phone

(215) 696-0389

Specialties & licenses 2

Addresses

Other names 1

• BrightStar Care of South Bucks and Southeast Montgomery Counties Doing business as

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1730636507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SCHOOL LN",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033027",
            "telephone_number": "215-696-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664020",
            "telephone_number": "215-750-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAHALODE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "SIERKA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "215-696-0389",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "05310501",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "12993601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of South Bucks and Southeast Montgomery Counties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Southampton, PA
• Providers in Southampton, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.