BRIGHTSTAR HEALTHCARE (NMRR INC) NPI 1023296555

Home Health in Oakland, CA

NPI 1023296555 Organization Home Health CLIA Number 05D1101936 CLIA Certificate of Waiver

About BRIGHTSTAR HEALTHCARE (NMRR INC)

Brightstar Healthcare (nmrr Inc) is a provider established in Oakland, California specializing in home health. The NPI number of Brightstar Healthcare (nmrr Inc) is 1023296555 and was assigned on February 2008. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Brightstar Healthcare. The authorized official of this NPI record is Mr. Matthew R Shriner (President)

The CLIA number of Brightstar Healthcare is 05D1101936 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Brightstar Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023296555

Provider NameBRIGHTSTAR HEALTHCARE (NMRR INC)
Provider Location Address7237 SKYLINE BLVD OAKLAND, CA 94611
Provider Mailing Address3746 MT DIABLO BLVD STE 204 LAFAYETTE, CA 94549
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBRIGHTSTAR HEALTHCARE
Other Name TypeDoing Business As (3)
Enumeration Date02-06-2008
Last Update Date02-06-2008


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License StateCA
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

BRIGHTSTAR HEALTHCARE
7237 SKYLINE BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 338-0419
Fax: (510) 338-0429

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Mailing Address

BRIGHTSTAR HEALTHCARE
3746 MT DIABLO BLVD
STE 204
LAFAYETTE, CA
ZIP 94549
Phone: (925) 284-8888
Fax: (925) 284-8828



Authorized Official

Authorized Official NameMR. MATTHEW R SHRINER
Authorized Official TitlePRESIDENT
Authorized Official Phone(925) 284-8888

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023296555 is:

CLIA Number05D1101936
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.