Active NPI
Bright Home Health Care Inc
- Home Health Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010245
- Legal business name
- BRIGHT HOME HEALTH CARE INC
- Practice address
- 4100 Medical Pkwy Ste 100
Carrollton, TX 75007-1540 - Phone
- (972) 820-8240
- Fax
- (972) 394-7327
- NPI assigned
- May 14, 2007
- 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
- Sajan Mathew
- Title
- Administrator
- Phone
- (214) 886-8643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010245 | TX | Primary |
Addresses
Primary practice location
4100 Medical Pkwy Ste 100
Carrollton, TX 75007-1540
Mailing address
4100 Medical Pkwy Ste 100
Carrollton, TX 75007-1540
Phone (972) 820-8240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121436 | Medicaid | TX |
Other names 1
- BRIGHT HOME HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000208 | TX | Part A Provider - Home Health Agency | 5890718118 | Practice locations: Carrollton, TX |
Home health agency certification: CCN 677867
- Legal name
- BRIGHT HOME HEALTH CARE INC
- Doing business as
- BRIGHT HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 17, 2006
- Last certification
- Oct 16, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 14, 2005 in TX
- Enrollment address
- 4100 Medical Pkwy
Ste 100
Carrollton, TX 75007-1517
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Bright Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 17, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1049242 | Bright Home Health Care Inc | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
4100 Medical Pkwy
Ste 100
Carrollton, TX 75007
Phone (972) 820-8240
3740 N Josey Ln
Ste 258
Carrollton, TX 75007
Phone (972) 820-8240
3740 N Josey Ln
Ste 160
Carrollton, TX 75007
Phone (972) 820-8240
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jolly Mathew | 5% Or Greater Direct Ownership Interest | Dec 17, 2013 | 50% |
| Corporate Director | Nov 14, 2005 | ||
| W-2 Managing Employee | Dec 5, 2016 | ||
| Sajan Mathew | 5% Or Greater Direct Ownership Interest | Dec 17, 2013 | 50% |
| Corporate Officer | Nov 14, 2005 | ||
| W-2 Managing Employee | Dec 5, 2016 | ||
| Sally Jacob | Corporate Director | Jan 31, 2006 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1124233853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MEDICAL PKWY STE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071540",
"telephone_number": "972-820-8240",
"fax_number": "972-394-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MEDICAL PKWY STE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071540",
"telephone_number": "972-820-8240",
"fax_number": "972-394-7327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "SAJAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-886-8643"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121436",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRIGHT HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.