MEDICARE: BRIGHTSTAR HOSPITALITY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316272404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTSTAR HOSPITALITY INC

Provider Business Mailing Address
First Line	:	11100 LOUETTA RD
Second Line	:	APT 714
City	:	HOUSTON
State	:	TX
Zip	:	77070-1432
Country	:	US
Telephone Number	:	713-359-6817
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 LOUETTA RD
Second Line	:	APT 714
City	:	HOUSTON
State	:	TX
Zip	:	77070-1432
Country	:	US
Telephone Number	:	713-359-6817
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARUN KUMAR KARUPAIAH
Credential	:
Telephone Number	:	713-359-6817

Provider Enumeration Date	:	10/07/2009
Last Update Date	:	10/07/2009

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