Organization Active NPI

Shine Bright Care

  • Home Health Agency
  • Anchorage, AK
National Provider Identifier
1639521214
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHINE BRIGHT CARE
Practice address
3007 Arctic Blvd SPC 2
Anchorage, AK 99503-3478
Phone
(907) 602-5094
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Lee Mai Keodouangdy
Title
Owner
Phone
(907) 602-5094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3007 Arctic Blvd SPC 2
Anchorage, AK 99503-3478

Mailing address

3007 Arctic Blvd SPC 2
Anchorage, AK 99503-3478
Phone (907) 602-5094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1639521214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 ARCTIC BLVD SPC 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033478",
            "telephone_number": "907-602-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 ARCTIC BLVD SPC 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033478",
            "telephone_number": "907-602-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE BRIGHT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "KEODOUANGDY",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-602-5094"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 7, 2016; 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.