Organization Active NPI

Brightstar Healthcare

  • Home Health Agency
  • Gurnee, IL
National Provider Identifier
1962673095
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2007N0834 Issued in IL
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

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.