Provider Demographics
NPI:1326355587
Name:BRIGHT HORIZONS HOME CARE LLC
Entity Type:Organization
Organization Name:BRIGHT HORIZONS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-246-0586
Mailing Address - Street 1:325 PAGE RD N STE 12
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-0088
Mailing Address - Country:US
Mailing Address - Phone:910-246-0586
Mailing Address - Fax:910-246-0589
Practice Address - Street 1:325 PAGE RD N STE 12
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-0088
Practice Address - Country:US
Practice Address - Phone:910-246-0586
Practice Address - Fax:910-246-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
NC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty