JRC Ventures Dba Brightstar of Chattanooga

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

I000000010208 Issued in TN

Legal business name

JRC VENTURES DBA BRIGHTSTAR OF CHATTANOOGA

Practice address

117 Nowlin LN Ste 200
Chattanooga, TN 37421-7320

Phone

(423) 296-6640

Fax

(423) 296-6643

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jacque Roderick Collett

Title

President

Phone

(423) 296-6640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1992077655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NOWLIN LN STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217320",
            "telephone_number": "423-296-6640",
            "fax_number": "423-296-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NOWLIN LN STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217320",
            "telephone_number": "423-296-6640",
            "fax_number": "423-296-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRC VENTURES DBA BRIGHTSTAR OF CHATTANOOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "RODERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-296-6640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000010208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.