Healthcare Provider Details

I. General information

NPI: 1417614322
Provider Name (Legal Business Name): BRIGHTEN YOUR DAY HOME HEALTH CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13761 SAINT CHARLES ROCK RD STE 116
BRIDGETON MO
63044-2458
US

IV. Provider business mailing address

3753 RUDELLE DR
FLORISSANT MO
63031-1144
US

V. Phone/Fax

Practice location:
  • Phone: 314-390-6100
  • Fax: 314-637-9307
Mailing address:
  • Phone: 314-390-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: RONNELL STEGALL-FLEMING
Title or Position: OWNER
Credential:
Phone: 314-391-7446