Brightstar Of Fairfax

LBN: Lone Jack Holdings, Inc.
Brightstar Of Fairfax is an health care organization with primary practice located at 10517 Braddock Rd Ste C , Fairfax VA 22032-2275. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Lone Jack Holdings, Inc. can be contacted via phone (703) 267-2380, or through Massie, Robert Withers via phone (630) 699-5900.

Contact Information

Primary practice address
10517 Braddock Rd Ste C Fairfax VA 22032-2275
Phone: (703) 267-2380
Fax: (703) 267-2384
Website:
Map and Directions
Authorized official contact:
Name: Massie, Robert Withers
Phone: (630) 699-5900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1124374061
LBN Legal business name Lone Jack Holdings, Inc.
DBA Doing business as Brightstar Of Fairfax
Authorized official Massie, Robert Withers
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2012
Last updated Oct 2nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124374061 NPPES
Virginia Other 0 NONE

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