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
Phone: (404) 856-7610
Fax: (866) 266-5030
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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