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Organization Active NPI

Angel Bright Home Health, Inc

  • Home Health Agency
  • Corpus Christi, TX
National Provider Identifier
1497750772
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008378 Issued in TX
Legal business name
ANGEL BRIGHT HOME HEALTH, INC
Practice address
3221 Holly Rd
Corpus Christi, TX 78415-3216
Phone
(361) 986-1102
Fax
(361) 986-1152
NPI assigned
Jun 14, 2005
Organization subpart
No

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
Mrs. Blanch E Fernandez
Title
Administrator/Cfo
Phone
(361) 986-1102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008378 TX Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

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 1

IdentifierTypeStateIssuer
158328801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030521000028 TX Part A Provider - Home Health Agency 6305756859 Practice locations: Corpus Christi, TX

Home health agency certification: CCN 679294

Legal name
ANGEL BRIGHT HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 19, 2003
Last certification
Feb 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 10, 2003 in TX
Enrollment address
3221 Holly Rd
Corpus Christi, TX 78415-3216

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Bright Home Health IncCCN 679294
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 19, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

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

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John Fernandez Individual W-2 Managing Employee Nov 8, 2003
Sonia Aguilar Individual W-2 Managing EmployeeBookkeeper Jun 1, 2018
Desiree Gonzalez Individual W-2 Managing Employee Sep 5, 2017
Blanch Estella Fernandez Individual 5% Or Greater Direct Ownership Interest Feb 10, 2003
Corporate Officer Feb 14, 2003
Corporate Director Feb 14, 2003
W-2 Managing Employee Feb 14, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1497750772",
    "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": "361-986-1152"
        },
        {
            "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": "361-986-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BRIGHT HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BLANCH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "361-986-1102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008378",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158328801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.