MEDICARE: BRIGHTERCARE HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144689191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTERCARE HOMECARE LLC

Provider Business Mailing Address
First Line	:	1832 W NELSON AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-3754
Country	:	US
Telephone Number	:	702-445-8292
Fax Number	:

Provider Business Practice Location Address
First Line	:	6392 MCLEOD DR STE 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4417
Country	:	US
Telephone Number	:	702-445-8292
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE DIANA JONES
Credential	:
Telephone Number	:	702-445-8292

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	02/18/2016

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Directions to “BRIGHTERCARE HOMECARE LLC ” Practice Location

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