Provider Demographics
NPI:1710545421
Name:BRIGHT LIFE HOME HEALTH
Entity Type:Organization
Organization Name:BRIGHT LIFE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YERANUI
Authorized Official - Middle Name:
Authorized Official - Last Name:NALCHADJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-540-7499
Mailing Address - Street 1:26000 SPRINGBROOK AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2597
Mailing Address - Country:US
Mailing Address - Phone:702-540-7499
Mailing Address - Fax:
Practice Address - Street 1:26000 SPRINGBROOK AVE STE 107
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2597
Practice Address - Country:US
Practice Address - Phone:702-540-7499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health