Organization
FUNDAMENTAL HEALTH GROUP, LLC
Active
Other names
BrightStar of NW Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM JACOB FRASER CSA (PRESIDENT)
(404) 856-7610
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1210, ATLANTA, GA 30308-2237
(404) 856-7610
(866) 266-5030
Mailing address
550 PEACHTREE ST NE, SUITE 1210, ATLANTA, GA 30308-2237
(404) 856-7610
(866) 266-5030
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-R-1213
HOME CARE PROVIDER LICENSE - SKILLED NURSING, PERSONAL CARE, & COMPANION/SITTER
GA
01
—
563170
JOINT COMMISSION ACCRED
GA
01
—
SCSA095804
CERTIFIED SENIOR ADVISOR
GA
Enumeration date
08/27/2013
Last updated
05/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us