BRIGHT STAR HEALTHCARE GROUP, LLC


Address: 1545 Pennsylvania Ave, Mcdonough, GA 30253-9114
Phone: 4707811630

BRIGHT STAR HEALTHCARE GROUP, LLC (NPI# 1538708433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538708433
Entity Type Organization
Organization Name BRIGHT STAR HEALTHCARE GROUP, LLC
Practice Address 1545 Pennsylvania Ave
Mcdonough
GA 30253-9114
Practice Telephone 4707811630
Mailing Telephone 4707811630
Enumeration Date 2019-12-26
Last Update Date 2019-12-26
Authorized Official Name MR. MARLON LLOYD (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 4707811630
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BRIGHT STAR HEALTHCARE GROUP, LLC 1545 Pennsylvania Ave, Mcdonough, GA 30253-9114

Office Location

Street Address 1545 PENNSYLVANIA AVE
City MCDONOUGH
State GA
Zip Code 30253-9114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565159 First Choice Home Health Care LLC In Home Supportive Care 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 2020-10-15
1164033783 Tanequa S Dorsey Counselor 40 Macon Street, Suite D, Mcdonough, GA 30253 2020-08-17
1396369195 Ikponmwosa Obakpolor Physical Therapist 234 Village Drive, Mcdonough, GA 30253 2020-06-08
1205392305 Healthstat Onsite Clinic-henry County Preventive Medicine 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 2019-02-13
1588128557 Vernette R Mathurin Licensed Practical Nurse 97 Atl Street Suite 100, Mcdonough, GA 30253 2019-01-24
1083196836 Peta-gaye C Pilote Registered Nurse 319 Regal Way E, Mcdonough, GA 30253 2018-08-29
1275021586 Heritage Medical Supply LLC Durable Medical Equipment & Medical Supplies 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 2018-04-23
1457853236 Sherrille Greene Counselor 609 Autumn Leaf Circle, Mcdonough, GA 30253 2018-03-07
1376052696 Kendra Oreggio Private Vehicle 117 Janney Circle, Mcdonough, GA 30253 2017-09-29
1245758788 Pamela Hobbs Home Health Aide 5011 Monarch Dr, Mcdonough, GA 30253 2017-09-05
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1497217715 Peachtree Recovery Centers, LLC Clinic/Center 3975 Roswell Rd Ne Ste 104, Atlanta, GA 30342-4119 2019-04-04
1902374812 Centered Recovery Programs, LLC Clinic/Center 1000 Piedmont Rd, Marietta, GA 30066-4032 2018-11-08
1255816302 Brainscience Recovery.works Clinic/Center 4233 Pleasant Hill Rd Ste 110, Duluth, GA 30096-1609 2018-09-25
1619469665 First Georgia Counseling Services LLC Clinic/Center 921 W Taylor St, Griffin, GA 30223-2605 2018-06-05
1952899775 Manifest Recovery Clinic/Center 1215 Hightower Trl Ste 201, Sandy Springs, GA 30350-6244 2018-04-26
1003317538 East Point Recovery Center Clinic/Center 100 Governors Trce Ste 110, Peachtree City, GA 30269-4853 2018-02-21
1538671011 Summit Wellness Group, Inc Clinic/Center 745 Hembree Pl, Roswell, GA 30076-4035 2017-10-24
1891214375 Centered Recovery Programs, LLC Clinic/Center 1250 Upper Hembree Rd Ste E, Roswell, GA 30076-4651 2017-09-15
1386009520 Georgia Detox and Recovery, LLC Clinic/Center 2812 Hillcreek Dr Ste B, Augusta, GA 30909-5632 2015-12-15
1427424183 Trek Medical, LLC Clinic/Center 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 2015-08-18
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Competitor

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City MCDONOUGH
Zip Code 30253

Improve Information

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Dataset Information

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.

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