MEDICARE: BRIGHTSTAR HEALTHCARE

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	251E00000X	Home Health Agency		UT

General Provider Information

NPI Number	:	1972761914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTSTAR HEALTHCARE

Provider Business Mailing Address
First Line	:	111 E 5600 S
Second Line	:	SUITE 300
City	:	MURRAY
State	:	UT
Zip	:	84107-6174
Country	:	US
Telephone Number	:	801-747-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 E 5600 S
Second Line	:	SUITE 300
City	:	MURRAY
State	:	UT
Zip	:	84107-6174
Country	:	US
Telephone Number	:	801-747-2262
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD EVANS VASSAR JR.
Credential	:	LMFT
Telephone Number	:	801-747-2262

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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Directions to “BRIGHTSTAR HEALTHCARE ” Practice Location

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