Provider Demographics
NPI:1598385726
Name:BRIGHTER DAY AT HOME LLC
Entity Type:Organization
Organization Name:BRIGHTER DAY AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-406-2535
Mailing Address - Street 1:6187 NW 167TH ST STE H23
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4352
Mailing Address - Country:US
Mailing Address - Phone:786-406-2535
Mailing Address - Fax:
Practice Address - Street 1:533 S GREEN ST
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-9203
Practice Address - Country:US
Practice Address - Phone:786-406-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health