Healthcare Provider Details

I. General information

NPI: 1063347292
Provider Name (Legal Business Name): BRIGHT STAR HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W LYTLE ST STE 204
MURFREESBORO TN
37130-3686
US

IV. Provider business mailing address

316 W LYTLE ST STE 204
MURFREESBORO TN
37130-3686
US

V. Phone/Fax

Practice location:
  • Phone: 612-226-0525
  • Fax: 612-226-0525
Mailing address:
  • Phone: 612-226-0525
  • Fax: 612-226-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASAM G. KARNUAH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 612-226-0525