BRIGHTSTART PEDIATRICS LLC (NPI# 1396911020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396911020 |
| Entity Type | Organization |
| Organization Name | BRIGHTSTART PEDIATRICS LLC |
| Other Organization Name | BRIGHTSTART PEDIATRICS |
| Practice Address |
1133 W Airport Blvd Sanford FL 32773-4972 |
| Practice Telephone | 4073219570 |
| Mailing Telephone | 4073219570 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MS. LINDA CATHERINE BROWN (MANAGING MEMBER) |
| Authorized Official Telephone | 4073219570 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
60080984 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 240016201 | 05 |
| Other Name | Type Code |
|---|---|
| BrightStart Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487820114 | Brightstart Pediatrics LLC | Physical Therapist | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2008-05-02 |
| Street Address |
1133 W AIRPORT BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912190125 | Brightstart Pediatrics,llc | Clinic/Center | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2007-08-21 |
| 1508274523 | Angela Sumrall | Occupational Therapy Assistant | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2014-07-23 |
| 1275841124 | Shelley Hughes | Respiratory Therapist, Registered | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2010-09-14 |
| 1487820114 | Brightstart Pediatrics LLC | Physical Therapist | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2008-05-02 |
| 1457545725 | Brightstart Pediatrics, LLC | Clinic/Center | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
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| 1336794387 | South Florida Ppec Services, LLC | Skilled Nursing Facility | 15383 Nw 7th Ave Ste B, Miami, FL 33169-6205 | 2019-08-06 |
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| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1871054254 | Happy Kids Ppec Foundation | Skilled Nursing Facility | 4756 Nw 167th St, Miami Lakes, FL 33014-6427 | 2019-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.