Brightside Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIGHTSIDE HOME HEALTH CARE INC

Practice address

7108 De Soto Ave Ste 206
Canoga Park, CA 91303-3230

Phone

(818) 453-4053

Fax

(818) 337-2207

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Amandeep Kaur

Title

Ceo/President

Phone

(818) 453-4053

Specialties & licenses 1

Addresses

Other names 1

• Brightside Home Health Care Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559717

Legal name

BRIGHTSIDE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 4, 2022

Last certification

Mar 4, 2022

Organization structure

CorporationProprietary

Incorporated

Aug 17, 2017 in CA

Enrollment address

8949 Reseda Blvd
Ste 203
Northridge, CA 91324-5819

Listed as

Brightside Home Health Care, IncCCN 559717

Ownership

-

Certified

Mar 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1265944813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 DE SOTO AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033230",
            "telephone_number": "818-453-4053",
            "fax_number": "818-337-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 DE SOTO AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033230",
            "telephone_number": "818-453-4053",
            "fax_number": "818-337-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-453-4053"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Home Health Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Cherie Bray
• Daniel Breslavsky
• Rebecca Bridges
• Katlyn Bridwell
• Bright Light Hospice Care Inc
• Laura Brightwell
• Matthew Britton
• Maria Susana Brizuela, M.A., BCBA
• John Daniel Broadhead
• Sharnetta Broadway

• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.

Verify at the official NPI Registry.