Provider Demographics
NPI:1295609964
Name:BRIGHT ANGEL HOME CARE LLC
Entity type:Organization
Organization Name:BRIGHT ANGEL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUEHLBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-307-5577
Mailing Address - Street 1:809 W RIORDAN RD
Mailing Address - Street 2:STE 100 PMB 1004
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001
Mailing Address - Country:US
Mailing Address - Phone:928-307-5577
Mailing Address - Fax:
Practice Address - Street 1:4539 N 22ND ST. SUITE N
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:928-307-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health