Provider Demographics
NPI:1760097935
Name:BRIGHT FUTURE HOME CARE SERVICES
Entity Type:Organization
Organization Name:BRIGHT FUTURE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARAPET
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-640-0102
Mailing Address - Street 1:6735 VAN NUYS BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4645
Mailing Address - Country:US
Mailing Address - Phone:818-640-0102
Mailing Address - Fax:
Practice Address - Street 1:6735 VAN NUYS BLVD STE 303
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4645
Practice Address - Country:US
Practice Address - Phone:818-640-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHT FUTURE HEALTHCARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health