Healthcare Provider Details

I. General information

NPI: 1326355587
Provider Name (Legal Business Name): BRIGHT HORIZONS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 PAGE RD N STE 12
PINEHURST NC
28374-0088
US

IV. Provider business mailing address

325 PAGE RD N STE 12
PINEHURST NC
28374-0088
US

V. Phone/Fax

Practice location:
  • Phone: 910-246-0586
  • Fax: 910-246-0589
Mailing address:
  • Phone: 910-246-0586
  • Fax: 910-246-0589

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNC

VIII. Authorized Official

Name: HOLLY BOALS
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 910-246-0586