- Enrollment id
- O20210126003069
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1700486271
- Multiple npi flag
- N
- Ccn
- 757151
- Associate id
- 0042624454
- Organization name
- BRIGHT HOME HEALTH CARE
- Incorporation date
- 2020-10-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 315 ARDEN AVE
- Address line 2
- STE 29
- City
- GLENDALE
- State
- CA
- Zip code
- 912031149