Provider Demographics
NPI:1114637725
Name:OMNI BRIGHT SOLUTIONS L. L. C
Entity Type:Organization
Organization Name:OMNI BRIGHT SOLUTIONS L. L. C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHONTAE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-742-8955
Mailing Address - Street 1:18847 CARDONI ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2109
Mailing Address - Country:US
Mailing Address - Phone:313-742-8955
Mailing Address - Fax:
Practice Address - Street 1:18847 CARDONI ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-2109
Practice Address - Country:US
Practice Address - Phone:313-742-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health