Provider Demographics
NPI:1295502516
Name:BRIGHT MOON HOME HEALTH CARE
Entity type:Organization
Organization Name:BRIGHT MOON HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASTGHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-208-7979
Mailing Address - Street 1:8315 FOOTHILL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2877
Mailing Address - Country:US
Mailing Address - Phone:818-208-7979
Mailing Address - Fax:818-839-4009
Practice Address - Street 1:8315 FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2877
Practice Address - Country:US
Practice Address - Phone:818-208-7979
Practice Address - Fax:818-839-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health