# SOUTHEASTERN HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightStar Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952545055
- **Authorized official:** MR. ROBERT KOHAN (PRESIDENT/OWNER)
- **Authorized official phone:** (757) 206-1167

## Contact information

- **Practice address:** 161A JOHN JEFFERSON RD., WILLIAMSBURG, VA 23185-5640
- **Practice address phone:** (757) 206-1167
- **Practice address fax:** (757) 208-0639
- **Mailing address:** 161A JOHN JEFFERSON RD., WILLIAMSBURG, VA 23185-5640
- **Mailing address phone:** (757) 206-1167
- **Mailing address fax:** (757) 208-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-09566 | VA | Yes |
| 253Z00000X | In Home Supportive Care Agency | HCO-09566 | VA | — |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 04/21/2009