Healther Providers Data Logo

52D2025813 CLIA NUMBER - NORLINE HEALTHCARE INC DBA BRIGHTSTAR OF WEST BEND

Laboratory Demographics

CLIA Number: 52D2025813

Facility Name: NORLINE HEALTHCARE INC DBA BRIGHTSTAR OF WEST BEND

Facility Address:
W227 N16841 TILLIE LAKE CT
JACKSON, WI
ZIP 53037
Get Directions

Facility Phone Number: 262 677-9200

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1912665779

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 52D2025813
LAB Type Home Health Agency
Facility Name NORLINE HEALTHCARE INC DBA BRIGHTSTAR OF WEST BEND
Street W227 N16841 TILLIE LAKE CT
City JACKSON
State WI
ZIP 53037
Phone 262 677-9200
CertificateType 4
CertificateEffectiveDate 4/5/2023
CertificateExpirationDate 4/4/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024