BRIGHTSTAR SENIOR LIVING OPERATIONS OF FORT WAYNE, LLC
NPI 1639832405
Assisted Living Facility in Fort Wayne, IN

Active since October 19, 2021
11430 COLDWATER RD, FORT WAYNE, IN 46845(260) 234-2929 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brightstar Senior Living Operations Of Fort Wayne, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTSTAR SENIOR LIVING OPERATIONS OF FORT WAYNE, LLC (NPI 1639832405) is a healthcare organization registered as an assisted living facility in Fort Wayne, Indiana and active in the NPI registry since October 2021. The organization lists Lisa Kasper, Compliance Paralegal, as its authorized official.

NPPES Registry Identity

NPI1639832405
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRIGHTSTAR SENIOR LIVING OPERATIONS OF FORT WAYNE, LLC
Location Address11430 COLDWATER RDFort Wayne, IN 46845-1253
Mailing Address1125 Tri State Pkwy Ste 700Gurnee, IL 60031-9177 · (224) 419-3610
Organization SubpartYesParent: Brightstar Group Holdings, Inc
Authorized OfficialLisa KasperCompliance Paralegal · (847) 693-2003
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
NPI 1639832405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
11430 COLDWATER RD, Fort Wayne, IN 46845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightstar Senior Living Operations Of Fort Wayne, LLC's NPI number?

The NPI number for Brightstar Senior Living Operations Of Fort Wayne, LLC is 1639832405. It was assigned to this organization in the NPPES registry on October 19, 2021.

Where is Brightstar Senior Living Operations Of Fort Wayne, LLC located?

Brightstar Senior Living Operations Of Fort Wayne, LLC is located at 11430 Coldwater Rd, Fort Wayne, IN 46845. The listed phone number is (260) 234-2929.

What is Brightstar Senior Living Operations Of Fort Wayne, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Brightstar Senior Living Operations Of Fort Wayne, LLC was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.