Organization Active NPI

Bright Care Home Health, Inc.

  • Home Health Agency
  • Temple City, CA
National Provider Identifier
1801927884
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
55000377 Issued in CA
Legal business name
BRIGHT CARE HOME HEALTH, INC.
Practice address
9908 Las Tunas Drive # L
Temple City, CA 91780
Phone
(626) 285-9698
Fax
(626) 285-2389
NPI assigned
Mar 8, 2007
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Ru Shi Du
Title
RN/Administrator
Phone
(626) 285-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 55000377 CA Primary

Addresses

Primary practice location

9908 Las Tunas Drive # L
Temple City, CA 91780

Mailing address

9908 Las Tunas Drive # L
Temple City, CA 91780
Phone (626) 285-9698

Other identifiers 1

IdentifierTypeStateIssuer
HHA08396FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000691 CA Part A Provider - Home Health Agency 3577599638 Practice locations: Rosemead, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801927884. Details of each certification follow.

Home health agency certification: CCN 058396

Legal name
BRIGHT CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 23, 2007
Last certification
Mar 27, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 29, 2005 in CA
Enrollment address
3925 Rosemead Blvd
Ste 205a
Rosemead, CA 91770-1986

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bright Care Home Health, IncCCN 058396 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 23, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1047136Bright Care Home Health3925 Rosemead Blvd Ste 205a, Rosemead, CA 91770Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

3925 Rosemead Blvd
Ste 205A
Rosemead, CA 91770
Phone (626) 285-9698

9908 Las Tunas Dr
Ste L
Temple City, CA 91780
Phone (626) 285-9698

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
Rushi Du Individual 5% Or Greater Direct Ownership Interest Mar 29, 2005 33.33%
Corporate OfficerChief Financial Officer Jul 8, 2005 33%
W-2 Managing EmployeeAdministrator, Cfo Mar 29, 2005 33.33%
Fung-Wah C Ruiz Individual 5% Or Greater Direct Ownership Interest Mar 29, 2005 33.33%
Corporate OfficerChief Executive Officer Jul 8, 2005 33%
Corporate DirectorDirector of Patient Care Services Jul 8, 2005 33%
Ying-NA Kao Wu Individual 5% Or Greater Direct Ownership Interest Mar 29, 2005 33.33%
Corporate Director Jul 8, 2005 33%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1801927884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 LAS TUNAS DRIVE # L",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-285-9698",
            "fax_number": "626-285-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 LAS TUNAS DRIVE # L",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-285-9698",
            "fax_number": "626-285-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "RU SHI",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "626-285-9698"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "55000377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08396F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.