=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114633344
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BT SLIGER, LLC DBA BRIGHTSTAR CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2023
-----------------------------------------------------
Last Update Date | 02/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3800 N RODNEY PARHAM RD STE 202
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72212-2488
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-224-3737
-----------------------------------------------------
Fax | 501-224-3738
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3800 N RODNEY PARHAM RD STE 202
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72212-2488
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-224-3737
-----------------------------------------------------
Fax | 501-224-3738
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN/OWNER
-----------------------------------------------------
Name | TIFFANY SLIGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 501-413-5304
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------