Active NPI
Brightlight Healthcare LLC
- Home Health Agency
- Brockton, MA
National Provider Identifier
1114549698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | brightlite1234@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.