Active NPI
Shine Bright Care, LLC
- In Home Supportive Care Agency
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SHINE BRIGHT CARE, LLC
- Practice address
- 400 W Northernlights Blvd
Ste 3
Anchorage, AK 99503-3877 - Phone
- (907) 346-6200
- NPI assigned
- Jan 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Baykham Keodouangdy
- Title
- Ceo
- Phone
- (907) 250-9935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1039501 | AK | |
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
400 W Northernlights Blvd
Ste 3
Anchorage, AK 99503-3877
Mailing address
400 W Northernlights Blvd
Anchorage, AK 99507-2149
Phone (907) 250-9935
Other practice location 1
624 W Bedford Euless Rd
Hurst, TX 76053-3928
Phone (817) 510-3810
National Provider Directory
National Provider DirectoryLocations
6407 Brayton Dr
Ste 100
Anchorage, AK 99507
624 W Bedford Euless Rd
Hurst, TX 76053
Phone (817) 510-3810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Anchorage, AK
- NPI 1871844571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1609311430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W NORTHERNLIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995072149",
"telephone_number": "907-250-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W NORTHERNLIGHTS BLVD",
"address_2": "STE 3",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033877",
"telephone_number": "907-346-6200"
}
],
"practiceLocations": [
{
"address_1": "624 W Bedford Euless Rd",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "760533928",
"country_code": "US",
"telephone_number": "817-510-3810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHINE BRIGHT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-03",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "KEODOUANGDY",
"authorized_official_first_name": "BAYKHAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "907-250-9935"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AK",
"license": "1039501",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.