Provider Demographics
NPI:1124753207
Name:BRIGHT BLUE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:BRIGHT BLUE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NOOSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-241-8816
Mailing Address - Street 1:1907 W BURBANK BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1316
Mailing Address - Country:US
Mailing Address - Phone:747-241-8816
Mailing Address - Fax:747-241-8834
Practice Address - Street 1:1907 W BURBANK BLVD STE A
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1316
Practice Address - Country:US
Practice Address - Phone:747-244-8816
Practice Address - Fax:747-241-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health