Healthcare Provider Details

I. General information

NPI: 1497610729
Provider Name (Legal Business Name): BRIGHT LIGHT HEATH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9507 HULL STREET RD STE D2
NORTH CHESTERFIELD VA
23236-1476
US

IV. Provider business mailing address

9507 HULL STREET RD STE D2
NORTH CHESTERFIELD VA
23236-1476
US

V. Phone/Fax

Practice location:
  • Phone: 804-943-8735
  • Fax: 804-538-5277
Mailing address:
  • Phone: 804-943-8735
  • Fax: 804-538-5277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE JOHNSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-943-8735