Organization Active NPI

Shine Bright Care, LLC

  • In Home Supportive Care Agency
  • Anchorage, AK
National Provider Identifier
1609311430
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Baykham KeodouangdyNPI 1871844571
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)CodeLicenseStatePrimary
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 AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.