Provider Demographics
NPI:1609533058
Name:BRIGHTER LIVING HOME HEALTH CARE
Entity Type:Organization
Organization Name:BRIGHTER LIVING HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SENIOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-655-0895
Mailing Address - Street 1:2885 SANFORD AVE SW # 36112
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1342
Mailing Address - Country:US
Mailing Address - Phone:734-655-0895
Mailing Address - Fax:
Practice Address - Street 1:2746 N 51ST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2312
Practice Address - Country:US
Practice Address - Phone:917-868-3495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health