Provider Demographics
NPI:1598264400
Name:BRIGHTHOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BRIGHTHOME HEALTHCARE, LLC
Other - Org Name:BRIGHTHOME HEALTHCARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSADAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-348-7684
Mailing Address - Street 1:8989 COTSWOLD DR STE 8
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8989 COTSWOLD DR STE 8
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1658
Practice Address - Country:US
Practice Address - Phone:703-348-7684
Practice Address - Fax:703-997-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health