Organization Active NPI

Bright Health Home Care Agency LLC

  • Home Health Agency
  • Winter Park, FL
National Provider Identifier
1043988835
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIGHT HEALTH HOME CARE AGENCY LLC
Practice address
3592 Aloma Ave Ste 5
Winter Park, FL 32792-4012
Phone
(407) 960-1413
Fax
(407) 960-1553
NPI assigned
Sep 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leydi Dominguez, APRN
Title
Manager
Phone
(407) 960-1413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3592 Aloma Ave Ste 5
Winter Park, FL 32792-4012

Mailing address

3592 Aloma Ave Ste 5
Winter Park, FL 32792-4012
Phone (407) 960-1413

Other identifiers 1

IdentifierTypeStateIssuer
APRN9380442OtherFLFLORIDA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1043988835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-960-1413",
            "fax_number": "407-960-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-960-1413",
            "fax_number": "407-960-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HEALTH HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "LEYDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-960-1413",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "APRN9380442",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.