Healthcare Provider Details

I. General information

NPI: 1346061389
Provider Name (Legal Business Name): BRIGHTHEARTS STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 GRANITE ST
WORCESTER MA
01607-1219
US

IV. Provider business mailing address

337 GRANITE ST
WORCESTER MA
01607-1219
US

V. Phone/Fax

Practice location:
  • Phone: 774-707-6062
  • Fax:
Mailing address:
  • Phone: 774-707-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: VERA EMENYI TANGIM
Title or Position: OWNER
Credential: NURSE/OWNER
Phone: 774-707-6062