Provider Demographics
NPI:1447498464
Name:BRIGHT MORNING STAR HOME CARE, LLC
Entity type:Organization
Organization Name:BRIGHT MORNING STAR HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:515-494-8882
Mailing Address - Street 1:PO BOX 821
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-0821
Mailing Address - Country:US
Mailing Address - Phone:515-494-8882
Mailing Address - Fax:641-792-3640
Practice Address - Street 1:514 S 44TH AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-8478
Practice Address - Country:US
Practice Address - Phone:515-494-8882
Practice Address - Fax:641-792-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care