Organization Active NPI

Angel Bright Home Health Inc

  • Personal Care Attendant
  • Corpus Christi, TX
National Provider Identifier
1144409160
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
ANGEL BRIGHT HOME HEALTH INC
Practice address
3221 Holly Rd
Corpus Christi, TX 78415-3216
Phone
(361) 986-1102
Fax
(361) 986-1010
NPI assigned
Oct 26, 2007
Organization subpart
Yes
Parent organization
ANGEL BRIGHT HOME HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Mr. John Brian Fernandez
Title
Director
Phone
(361) 986-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

3221 Holly Rd
Corpus Christi, TX 78415-3216

Mailing address

3221 Holly Rd
Corpus Christi, TX 78415-3216
Phone (361) 986-1102

Other identifiers 2

IdentifierTypeStateIssuer
1583288-01MedicaidTX
001012540OtherTXPRIMARY HOME CARE

National Provider Directory

National Provider Directory
Tax ID family
Angel Bright Home Healthinc3 organizations share this tax ID, including this one
Part of
Angel Bright Home Healthinc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1144409160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153216",
            "telephone_number": "361-986-1102",
            "fax_number": "361-986-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784153216",
            "telephone_number": "361-986-1102",
            "fax_number": "361-986-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BRIGHT HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL BRIGHT HOME HEALTH INC",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-986-1102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583288-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY HOME CARE",
            "identifier": "001012540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.