Provider Demographics
NPI:1083010920
Name:BRIGHT SKY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BRIGHT SKY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:I
Authorized Official - Last Name:POSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-281-5822
Mailing Address - Street 1:414 TENNESSEE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:414 TENNESSEE ST
Practice Address - Street 2:SUITE E
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8163
Practice Address - Country:US
Practice Address - Phone:909-792-4090
Practice Address - Fax:909-792-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47-216152251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
C3717959Medicare UPIN