- Enrollment id
- O20200714001661
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689132110
- Multiple npi flag
- N
- Ccn
- 559305
- Associate id
- 6305269085
- Organization name
- BRIGHT STAR HOME HEALTH CARE INC
- Incorporation date
- 2019-01-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 E OLIVE AVE
- Address line 2
- STE 306
- City
- BURBANK
- State
- CA
- Zip code
- 915021850
- Practice location type
- HHA BRANCH