Active NPI
Brightstar Healthcare
- Home Health Agency
- Gurnee, IL
National Provider Identifier
1962673095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2007N0834
- Legal business name
- BRIGHTSTAR HEALTHCARE
- Practice address
- 1790 Nations Dr
Suite103
Gurnee, IL 60031-9164 - Phone
- (847) 782-8282
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelly Sun
- Title
- Owner
- Phone
- (847) 782-8282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2007N0834 | IL | Primary |
Addresses
Primary practice location
1790 Nations Dr
Suite103
Gurnee, IL 60031-9164
Mailing address
1790 Nations Dr
Suite103
Gurnee, IL 60031-9164
Phone (847) 782-8282
National Provider Directory
National Provider DirectoryLocations
1790 Nations Dr
Ste 103
Gurnee, IL 60031
Phone (847) 782-8282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1962673095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 NATIONS DR",
"address_2": "SUITE103",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319164",
"telephone_number": "847-782-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 NATIONS DR",
"address_2": "SUITE103",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319164",
"telephone_number": "847-782-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTSTAR HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "SUN",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-782-8282",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "2007N0834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.