Organization Active NPI

Bright Home Care Inc

  • Attendant Care Provider
  • Land O' Lakes, FL
National Provider Identifier
1356090864
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
BRIGHT HOME CARE INC
Practice address
2641 Stonewood Park Loop Ste 109
Land O Lakes, FL 34638-6211
Phone
(813) 343-4769
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Josmar Abreu
Title
President
Phone
(813) 343-4769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

2641 Stonewood Park Loop Ste 109
Land O Lakes, FL 34638-6211

Mailing address

2641 Stonewood Park Loop Ste 109
Land O Lakes, FL 34638-6211
Phone (813) 343-4769

Other identifiers 1

IdentifierTypeStateIssuer
112780500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816003768 FL Part A Provider - Home Health Agency 6103364450 Practice locations: Land O Lakes, FL

Home health agency certification: CCN 687373

Legal name
BRIGHT HOME CARE INC
Doing business as
BRIGHT LIFE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 17, 2024
Last certification
Dec 3, 2024
Organization structure
CorporationProprietary
Incorporated
Jun 16, 2021 in FL
Enrollment address
2641 Stonewood Park Loop
Ste 109
Land O Lakes, FL 34638
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bright Life Home CareCCN 687373 · All quality measures
Ownership
-
Certified
Dec 17, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2283371Bright Home Care Inc2641 Stonewood Park Loop - Ste 109, Land O Lakes, FL 34638Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bright Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2641 Stonewood Park Loop
Ste 109
Land O Lakes, FL 34638
Phone (813) 343-4769

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
Josmar Abreu Individual 5% Or Greater Direct Ownership InterestOwner, Cfo, Ceo Jun 16, 2021 100%
Corporate OfficerOwner, Cfo, Ceo Jun 16, 2021 100%
Corporate DirectorOwner, Cfo, Ceo Jun 16, 2021 100%
W-2 Managing EmployeeOwner, Cfo, Ceo Jun 16, 2021 100%
Idania Figueroa Individual Corporate OfficerAdministrator Oct 25, 2023
W-2 Managing EmployeeAd; Oct 25, 2023
Amelia Reinoso Perez Individual Corporate OfficerDon, Alt. Administrator Oct 25, 2023
W-2 Managing EmployeeDon, Alt. Administrator Oct 25, 2023

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1356090864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 STONEWOOD PARK LOOP STE 109",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386211",
            "telephone_number": "813-343-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 STONEWOOD PARK LOOP STE 109",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386211",
            "telephone_number": "813-343-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "JOSMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-343-4769"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112780500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.