Healthcare Provider Details

I. General information

NPI: 1730016429
Provider Name (Legal Business Name): EVERBRIGHT HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 W AVENUE K STE 205
LANCASTER CA
93534-6423
US

IV. Provider business mailing address

1817 W AVENUE K STE 205
LANCASTER CA
93534-6423
US

V. Phone/Fax

Practice location:
  • Phone: 661-471-6601
  • Fax: 661-524-8773
Mailing address:
  • Phone: 661-471-6601
  • Fax: 661-524-8773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YLMARD GRIMALDI
Title or Position: CEO
Credential:
Phone: 661-471-6601