Healthcare Provider Details

I. General information

NPI: 1457610701
Provider Name (Legal Business Name): BRIGHT HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 05/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7976 QUAKER RIDGE WAY
SACRAMENTO CA
95829-8032
US

IV. Provider business mailing address

7976 QUAKER RIDGE WAY
SACRAMENTO CA
95829-8032
US

V. Phone/Fax

Practice location:
  • Phone: 916-879-4791
  • Fax: 916-682-5423
Mailing address:
  • Phone: 916-879-4791
  • Fax: 916-682-5423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number347004066
License Number StateCA

VIII. Authorized Official

Name: GURDEEP SIDHU
Title or Position: LICENSEE/MANAGING MEMBER
Credential:
Phone: 916-879-4791