Provider Demographics
NPI:1730842402
Name:BRIGHTSTAR SENIOR LIVING OPERATIONS OF MASON, LLC
Entity type:Organization
Organization Name:BRIGHTSTAR SENIOR LIVING OPERATIONS OF MASON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-693-2003
Mailing Address - Street 1:1125 TRI STATE PKWY STE 700
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-9177
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6491 READING RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3210
Practice Address - Country:US
Practice Address - Phone:513-770-9448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTSTAR GROUP HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-19
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)