Organization Active NPI

Brightlight Healthcare LLC

  • Home Health Agency
  • Brockton, MA
National Provider Identifier
1114549698
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIGHTLIGHT HEALTHCARE LLC
Practice address
425 Pleasant St Ste 101
Brockton, MA 02301-2533
Phone
(508) 688-4347
Fax
(508) 348-9983
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Mrs. Irline Charles
Title
President
Phone
(508) 933-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

425 Pleasant St Ste 101
Brockton, MA 02301-2533

Mailing address

425 Pleasant St Ste 101
Brockton, MA 02301-2533
Phone (508) 688-4347

Other practice location 1

104 North Ave
Brockton, MA 02302-1819
Phone (508) 933-7914

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brightlite1234@gmail.com

National Provider Directory

National Provider Directory

Locations

425 Pleasant St
Ste 101
Brockton, MA 02301
Phone (508) 688-4347

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1114549698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST STE 101",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-688-4347",
            "fax_number": "508-348-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST STE 101",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-688-4347",
            "fax_number": "508-348-9983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 North Ave",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023021819",
            "country_code": "US",
            "telephone_number": "508-933-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTLIGHT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "IRLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-933-7914",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brightlite1234@gmail.com",
            "affiliation": "N",
            "address_1": "425 Pleasant St Ste 101",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023012533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.