Provider Demographics
NPI:1558983668
Name:BRIGHT TRUST HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:BRIGHT TRUST HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-258-4839
Mailing Address - Street 1:4755 N CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7940
Mailing Address - Country:US
Mailing Address - Phone:561-660-7783
Mailing Address - Fax:561-660-7790
Practice Address - Street 1:4755 N CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7940
Practice Address - Country:US
Practice Address - Phone:561-660-7783
Practice Address - Fax:561-660-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health