Brightstar Of Nw Atlanta

LBN: Fundamental Health Group, Llc
Brightstar Of Nw Atlanta is an health care organization with primary practice located at 550 Peachtree St Ne Suite 1210, Atlanta GA 30308-2237. The organization recently has 3 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Fundamental Health Group, Llc can be contacted via phone (404) 856-7610, or through Fraser, Adam Jacob via phone (404) 856-7610.

Contact Information

Primary practice address
550 Peachtree St Ne Suite 1210 Atlanta GA 30308-2237
Fax: (866) 266-5030
Website:
Authorized official contact:
Name: Fraser, Adam Jacob CSA

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1588098529
LBN Legal business name Fundamental Health Group, Llc
DBA Doing business as Brightstar Of Nw Atlanta
Authorized official Fraser, Adam Jacob CSA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2013
Last updated May 28th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588098529 NPPES
Georgia Other 060-R-1213 HOME CARE PROVIDER LICENSE - SKILLED NURSING, PERSONAL CARE, & COMPANION/SITTER
Georgia Other 563170 HOME CARE PROVIDER LICENSE - SKILLED NURSING, PERSONAL CARE, & COMPANION/SITTER
Georgia Other SCSA095804 HOME CARE PROVIDER LICENSE - SKILLED NURSING, PERSONAL CARE, & COMPANION/SITTER

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