MEDICARE: BRIGHTON HOME HEALTH SERVICES LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700234648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTON HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	11055 WHISPERING PINES LN
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3809
Country	:	US
Telephone Number	:	561-283-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	11055 WHISPERING PINES LN
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3809
Country	:	US
Telephone Number	:	561-283-9681
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHAD CHITWOOD
Credential	:
Telephone Number	:	561-283-9681

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	06/01/2016

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