Provider Demographics
NPI:1598177180
Name:BRIGHTER HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:BRIGHTER HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZAYNA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-269-6520
Mailing Address - Street 1:4111 CENTRAL AVE NE
Mailing Address - Street 2:SUITE 201-D
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-2953
Mailing Address - Country:US
Mailing Address - Phone:763-432-5637
Mailing Address - Fax:763-432-3866
Practice Address - Street 1:4111 CENTRAL AVE NE
Practice Address - Street 2:SUITE 201-D
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-2953
Practice Address - Country:US
Practice Address - Phone:763-432-5637
Practice Address - Fax:763-432-3866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN98632251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA095440100Medicaid