Healthcare Provider Details

I. General information

NPI: 1538063441
Provider Name (Legal Business Name): A BRIGHTER LEGACY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HARRISON AVE STE 605
BOSTON MA
02111-1929
US

IV. Provider business mailing address

156 BALLOU AVE APT 3
DORCHESTER MA
02124-4182
US

V. Phone/Fax

Practice location:
  • Phone: 617-778-8554
  • Fax:
Mailing address:
  • Phone: 617-778-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JALIYAH SPENCER
Title or Position: CEO
Credential:
Phone: 617-778-8554