Healthcare Provider Details
I. General information
NPI: 1285434092
Provider Name (Legal Business Name): BRIGHT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1204 S CENTRAL AVE
GLENDALE CA
91204-2504
US
IV. Provider business mailing address
10505 FERNGLEN AVE
TUJUNGA CA
91042-1522
US
V. Phone/Fax
- Phone: 818-736-1151
- Fax:
- Phone: 818-736-1151
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0813X |
| Taxonomy | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LILIA
ANDRSIAN
Title or Position: CEO
Credential:
Phone: 818-736-1151