Provider Demographics
NPI:1568156362
Name:BRIGHTER MOMENTS HOME CARE SERVICES
Entity Type:Organization
Organization Name:BRIGHTER MOMENTS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-763-4263
Mailing Address - Street 1:14851 N 25TH DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-5074
Mailing Address - Country:US
Mailing Address - Phone:517-763-4263
Mailing Address - Fax:
Practice Address - Street 1:14851 N 25TH DR UNIT 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-5074
Practice Address - Country:US
Practice Address - Phone:517-763-4263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care