Healthcare Provider Details

I. General information

NPI: 1043041544
Provider Name (Legal Business Name): BRIGHTSTAR HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 GOLDEN RD
TOLEDO OH
43615-4716
US

IV. Provider business mailing address

5125 GOLDEN RD
TOLEDO OH
43615-4716
US

V. Phone/Fax

Practice location:
  • Phone: 419-378-0675
  • Fax:
Mailing address:
  • Phone: 419-378-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. SODIQ RASAQ
Title or Position: CEO
Credential:
Phone: 419-378-0675