# BRIGHTSTAR CRDM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightStar Care CRDM, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437652401
- **Authorized official:** TODD HOUGHTON (DIRECTOR, CORPORATE LOCATIONS)
- **Authorized official phone:** (813) 361-5893

## Contact information

- **Practice address:** 5340 N PARK PL NE STE 202, CEDAR RAPIDS, IA 52402-6235
- **Practice address phone:** (319) 363-2721
- **Mailing address:** 1125 TRI STATE PKWY STE 700, GURNEE, IL 60031-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018
