MEDICARE: BRIGHT HOME CARE INC

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
2	3747A0650X	Attendant Care Provider

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	:	1356090864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT HOME CARE INC

Provider Business Mailing Address
First Line	:	2641 STONEWOOD PARK LOOP STE 109
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-6211
Country	:	US
Telephone Number	:	813-343-4769
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 STONEWOOD PARK LOOP STE 109
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-6211
Country	:	US
Telephone Number	:	813-343-4769
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSMAR ABREU
Credential	:
Telephone Number	:	813-343-4769

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	06/28/2023

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