Provider Demographics
NPI:1578210043
Name:BRIGHTHEART HOME CARE INC
Entity Type:Organization
Organization Name:BRIGHTHEART HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSUNMOLA
Authorized Official - Middle Name:FEYISARA
Authorized Official - Last Name:FILANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, CSCM
Authorized Official - Phone:770-799-6556
Mailing Address - Street 1:110 HABERSHAM DR STE 141
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1381
Mailing Address - Country:US
Mailing Address - Phone:770-799-6556
Mailing Address - Fax:770-799-8826
Practice Address - Street 1:110 HABERSHAM DR STE 141
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1381
Practice Address - Country:US
Practice Address - Phone:770-799-6556
Practice Address - Fax:770-799-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care