Organization
BRIGHT STAR HEALTH CARE LLC
Active
Parent organization
BRIGHT STAR HORIZON HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT STAR HORIZON HOLDINGS LLC
Authorized official
JUSTIN K WILSON PHD-C, NP (CO-CEO)
(732) 501-7563
Entity
Organization
Contact information
Practice address
144 MILLTOWN RD, BRIDGEWATER, NJ 08807-2554
(973) 336-0421
Mailing address
144 MILLTOWN RD, BRIDGEWATER, NJ 08807-2554
(732) 501-7563
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801337944
—
NJ
Enumeration date
09/06/2024
Last updated
09/06/2024
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