Healthcare Provider Details
I. General information
NPI: 1629952965
Provider Name (Legal Business Name): BRIGHT CARE AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
51 N MAIN ST
RANDOLPH MA
02368-4636
US
IV. Provider business mailing address
51 N MAIN ST
RANDOLPH MA
02368-4636
US
V. Phone/Fax
- Phone: 781-789-5549
- Fax:
- Phone: 781-789-5549
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
WIDLAINE
CASSEUS
Title or Position: CEO / OWNER
Credential: RN / BSN
Phone: 781-789-5549