Organization
HOBLACKJONES INCORPORATED
Active
Other names
BrightStar of Stroudsburg
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN SUSAN JONES R.N.C., MSN/MBA (PRESIDENT)
(570) 223-2248
Entity
Organization
Contact information
Practice address
6258 ROUTE 209, SUITE 2, STROUDSBURG, PA 18360-7159
(570) 223-2248
(570) 231-7655
Mailing address
6258 ROUTE 209, SUITE 2, STROUDSBURG, PA 18360-7159
(570) 223-2248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04730501
PA
251E00000X
Home Health Agency
RN326286L
PA
251J00000X
Nursing Care Agency
04730501
PA
253Z00000X
In Home Supportive Care Agency
14273601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10236602002
PENSYLVANIA WAIVER PROVIDER - LOCATION 0002 - MPI NUMBER
PA
01
—
1023866020001
PENSYLVANIA WAIVER PROVIDER - LOCATION 0001 - MPI NUMBER
PA
01
—
1023866020003
PENSYLVANIA WAIVER PROVIDER - LOCATION 0003 - MPI NUMBER
PA
Enumeration date
06/19/2009
Last updated
09/20/2014
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