Healthcare Provider Details

I. General information

NPI: 1144409160
Provider Name (Legal Business Name): ANGEL BRIGHT HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 HOLLY RD
CORPUS CHRISTI TX
78415-3216
US

IV. Provider business mailing address

3221 HOLLY RD
CORPUS CHRISTI TX
78415-3216
US

V. Phone/Fax

Practice location:
  • Phone: 361-986-1102
  • Fax: 361-986-1010
Mailing address:
  • Phone: 361-986-1102
  • Fax: 361-986-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOHN BRIAN FERNANDEZ
Title or Position: DIRECTOR
Credential:
Phone: 361-986-1102