Healthcare Provider Details

I. General information

NPI: 1508663832
Provider Name (Legal Business Name): BRIGHTCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 STEPNEY LN UNIT 1724
EDGEWATER MD
21037-8569
US

IV. Provider business mailing address

39 STEPNEY LN UNIT 1724
EDGEWATER MD
21037-8569
US

V. Phone/Fax

Practice location:
  • Phone: 410-404-3621
  • Fax:
Mailing address:
  • Phone: 410-404-3621
  • 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 Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOPHIA ACQUAH
Title or Position: CEO
Credential:
Phone: 410-404-3621