BRIGHTSTAR CARE OF MARIETTA
NPI 1225335656
In Home Supportive Care in Marietta, GA
- 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 Verify this NPI
- 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
- Code Navigator
Location Map
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) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 033-R-0452 (GA) |
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.
Reviews for BRIGHTSTAR CARE OF MARIETTA
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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.
