Organization Active NPI

MSK Re Holdings LLC

Doing business as BrightStar Care of E. Volusia

  • Home Health Agency
  • Deland, FL
National Provider Identifier
1831607431
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MSK RE HOLDINGS LLC
Doing business as
BrightStar Care of E. Volusia
BrightStar Care of St. Augustine & Palm Coast
BrightStar Care of W. Volusia
Practice address
414 S Woodland Blvd
Deland, FL 32720-5899
Phone
(386) 233-9009
Fax
(386) 233-9009
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Mrs. Masha Sandhu, MS-HSA, BDS
Title
Manager
Phone
(386) 233-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

414 S Woodland Blvd
Deland, FL 32720-5899

Mailing address

414 S Woodland Blvd
Deland, FL 32720-5899
Phone (386) 233-9009

Other names 3

  • BrightStar Care of E. Volusia Doing business as
  • BrightStar Care of St. Augustine & Palm Coast Doing business as
  • BrightStar Care of W. Volusia Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1831607431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205899",
            "telephone_number": "386-233-9009",
            "fax_number": "386-233-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205899",
            "telephone_number": "386-233-9009",
            "fax_number": "386-233-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK RE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "MASHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-233-9009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-HSA, BDS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of E. Volusia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar Care of St. Augustine & Palm Coast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar Care of W. Volusia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.