BRIGHTSTAR CARE OF MARIETTA
NPI 1225335656
In Home Supportive Care in Marietta, GA

NPI Status: Active since February 21, 2011

Contact Information

833 CAMPBELL HILL ST NW
SUITE 116
MARIETTA, GA
ZIP 30060
Phone: (678) 290-7827
Fax: (678) 290-7817

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 11D2219715
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-06-2027

About BRIGHTSTAR CARE OF MARIETTA

This page provides the complete NPI Profile along with additional information for Brightstar Care Of Marietta, a provider established in Marietta, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1225335656 assigned on February 2011. The practitioner's primary taxonomy code is 253Z00000X with license number 033-R-0452 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Brightstar Care Of Marietta. The authorized official of this NPI record is Mr. David William Evans (President)

NPI
1225335656
Provider Legal Name
MARIAC ENTERPRISES, LLC
Other Organization Name
BRIGHTSTAR CARE OF MARIETTA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
833 CAMPBELL HILL ST NW SUITE 116 MARIETTA, GA 30060
Location Phone
(678) 290-7827
Location Fax
(678) 290-7817
Mailing Address
833 CAMPBELL HILL ST NW SUITE 116 MARIETTA, GA 30060
Mailing Phone
(678) 290-7827
Mailing Fax
(678) 290-7817
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2011
Last Update Date
07-07-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
033-R-0452
License State
GA
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

033-R-0452 (GA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID WILLIAM EVANS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(678) 290-7827

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 this NPI number is:

CLIA Number
11D2219715
Facility Type
Home Health Agency
Certificate Effective Date
April 07, 2025
Certificate Expiration Date
April 06, 2027
Laboratory Director
CHARLES DAVID RUDDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brightstar Care Of Marietta 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225335656, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 6 + 3 + 1 + 0 + 6 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1225335656.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
833 CAMPBELL HILL ST NW, SUITE 115
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
833 CAMPBELL HILL ST NW, SUITE 111
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
833 CAMPBELL HILL ST NW, SUITE 111
MARIETTA, GA 30060
Pharmacist
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Clinical Medical Laboratory
833 CAMPBELL HILL ST NW, SUITE 111
MARIETTA, GA 30060
Obstetrics & Gynecology
833 CAMPBELL HILL ST NW, SUITE 400
MARIETTA, GA 30060
Otolaryngology
833 CAMPBELL HILL ST NW, SUITE 420
MARIETTA, GA 30060
Specialist/Technologist, Other (Surgical Assistant)
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Physician Assistant (Surgical)
833 CAMPBELL HILL ST NW, SUITE 280
MARIETTA, GA 30060
Advanced Practice Midwife
833 CAMPBELL HILL ST NW, SUITE 400
MARIETTA, GA 30060
Advanced Practice Midwife
833 CAMPBELL HILL ST NW, SUITE 400
MARIETTA, GA 30060
Marriage & Family Therapist
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Specialist/Technologist, Other (Surgical Assistant)
833 CAMPBELL HILL ST NW, SUITE 280
MARIETTA, GA 30060
Obstetrics & Gynecology
833 CAMPBELL HILL ST NW, SUITE 400
MARIETTA, GA 30060
Obstetrics & Gynecology
833 CAMPBELL HILL ST NW, SUITE 400
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Counselor (Mental Health)
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Psychologist (Clinical)
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Obstetrics & Gynecology
833 CAMPBELL HILL ST NW
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225335656, enumerated as an "organization" on February 21, 2011.

The provider is located at 833 CAMPBELL HILL ST NW SUITE 116 MARIETTA, GA 30060 and the phone number is (678) 290-7827.

In Home Supportive Care with taxonomy code 253Z00000X.