Healthcare Provider Details

I. General information

NPI: 1063235463
Provider Name (Legal Business Name): STAR BRIGHT STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FERRY ST
SOUTH RIVER NJ
08882-1259
US

IV. Provider business mailing address

2905 BIRCHWOOD CT
NORTH BRUNSWICK NJ
08902-3933
US

V. Phone/Fax

Practice location:
  • Phone: 800-781-4460
  • Fax:
Mailing address:
  • Phone: 646-247-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. JACQUELINE BOAMAH-BRIGHT
Title or Position: MANAGER
Credential:
Phone: 646-247-0087