BRIGHTSTAR MOUNTAINSIDE
NPI 1477980803
Home Health in Salt Lake City, UT
- Organization
- Home Health
- CLIA Number: 46D2037725
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 03-05-2028
About BRIGHTSTAR MOUNTAINSIDE
This page provides the complete NPI Profile along with additional information for Brightstar Mountainside, a provider established in Salt Lake City, Utah operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1477980803 assigned on September 2013. The practitioner's primary taxonomy code is 251E00000X with license number 2013-HHA-UT00421 (UT). 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 Mountainside. The authorized official of this NPI record is Alan Baggett (Owner)
- NPI
- 1477980803 Verify this NPI
- Provider Legal Name
- YSWECAN, LLC
- Other Organization Name
- BRIGHTSTAR MOUNTAINSIDE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5320 S 900 E STE 280 SALT LAKE CITY, UT 84117
- Location Phone
- (801) 290-1290
- Location Fax
- (801) 290-1291
- Mailing Address
- 5320 S 900 E STE 280 SALT LAKE CITY, UT 84117
- Mailing Phone
- (801) 290-1290
- Mailing Fax
- (801) 290-1291
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2013
- Last Update Date
- 09-30-2013
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 2013-HHA-UT00421
- License State
- UT
- Taxonomy Description
- A 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.
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 | 2013-PCA-100630 (UT) |
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
- 46D2037725
- Facility Type
- Home Health Agency
- Certificate Effective Date
- March 06, 2026
- Certificate Expiration Date
- March 05, 2028
- Laboratory Director
- DEBORAH PARKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brightstar Mountainside 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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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477980803, enumerated as an "organization" on September 30, 2013.
The provider is located at 5320 S 900 E STE 280 SALT LAKE CITY, UT 84117 and the phone number is (801) 290-1290.
Home Health with taxonomy code 251E00000X.
