Organization Active NPI

SRC Homecare, Inc.

Doing business as BrightStar Care of Bellevue

  • Home Health Agency
  • Kirkland, WA
National Provider Identifier
1891301750
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SRC HOMECARE, INC.
Doing business as
BrightStar Care of Bellevue
Practice address
1102 8TH St Ste a
Kirkland, WA 98033-5666
Phone
(206) 777-1190
Fax
(206) 420-3835
NPI assigned
Sep 16, 2020
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Steven Cleeland
Title
President/Ceo
Phone
(206) 777-1190

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X
Infusion Therapy Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WI0500X
Home Health Agency 251E00000X Primary
Home Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SH0200X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

1102 8TH St Ste a
Kirkland, WA 98033-5666

Mailing address

1102 8TH St Ste a
Kirkland, WA 98033-5666
Phone (206) 777-1190

Other names 1

  • BrightStar Care of Bellevue Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2180915Brightstar Care1102 8TH St Ste a, Kirkland, WA 98033Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1102 8th St
Ste A
Kirkland, WA 98033
Phone (206) 777-1190

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1891301750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 8TH ST STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335666",
            "telephone_number": "206-777-1190",
            "fax_number": "206-420-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 8TH ST STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335666",
            "telephone_number": "206-777-1190",
            "fax_number": "206-420-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRC HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "CLEELAND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-777-1190"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.