Healthcare Provider Details

I. General information

NPI: 1437224060
Provider Name (Legal Business Name): ANGEL BRIGHT HOME HEALTH,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 HOLLY ROAD
CORPUS CHRISTI TX
78415-3216
US

IV. Provider business mailing address

3221 HOLLY ROAD
CORPUS CHRISTI TX
78415-3216
US

V. Phone/Fax

Practice location:
  • Phone: 361-986-1102
  • Fax: 361-986-1152
Mailing address:
  • Phone: 361-986-1102
  • Fax: 361-986-1152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. BLANCH E FERNANDEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-986-1102