Organization Active NPI

Bright Home Health Care Inc

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1124233853
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010245 Issued in TX
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

Updated by the provider on Jan 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2121436MedicaidTX

Other names 1

  • BRIGHT HOME HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthCCN 677867
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1049242Bright Home Health Care Inc4100 Medical Parkway, Suite 100, Carrollton, TX 75007Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jolly Mathew Individual 5% Or Greater Direct Ownership Interest Dec 17, 2013 50%
Corporate DirectorAdministrator Nov 14, 2005
W-2 Managing Employee Dec 5, 2016
Sajan Mathew Individual 5% Or Greater Direct Ownership Interest Dec 17, 2013 50%
Corporate OfficerCfo Nov 14, 2005
W-2 Managing EmployeeAdmin Dec 5, 2016
Sally Jacob Individual 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

Verify at the official NPI Registry.