Provider Demographics
NPI:1457610701
Name:BRIGHT HOMES LLC
Entity Type:Organization
Organization Name:BRIGHT HOMES LLC
Other - Org Name:BRIGHT HOMES ELDERLY CARE FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSEE/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GURDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-879-4791
Mailing Address - Street 1:7976 QUAKER RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-8032
Mailing Address - Country:US
Mailing Address - Phone:916-879-4791
Mailing Address - Fax:916-682-5423
Practice Address - Street 1:7976 QUAKER RIDGE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-8032
Practice Address - Country:US
Practice Address - Phone:916-879-4791
Practice Address - Fax:916-682-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347004066310400000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care