MEDICARE: BRIGHTER MOMENTS HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1568156362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER MOMENTS HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	14851 N 25TH DR UNIT 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-5074
Country	:	US
Telephone Number	:	517-763-4263
Fax Number	:

Provider Business Practice Location Address
First Line	:	14851 N 25TH DR UNIT 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-5074
Country	:	US
Telephone Number	:	517-763-4263
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JACQUELINE DAY
Credential	:
Telephone Number	:	517-763-4263

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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