Provider Demographics
NPI:1881311405
Name:BRIGHTNOON HEALTHCARE LLC
Entity type:Organization
Organization Name:BRIGHTNOON HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORLINE LAURE
Authorized Official - Middle Name:
Authorized Official - Last Name:NONO EPSE NGUEJIP
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:978-907-0458
Mailing Address - Street 1:35 VILLAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1238
Mailing Address - Country:US
Mailing Address - Phone:978-907-0458
Mailing Address - Fax:978-998-4751
Practice Address - Street 1:35 VILLAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-1238
Practice Address - Country:US
Practice Address - Phone:978-907-0458
Practice Address - Fax:978-998-4751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care