Provider Demographics
NPI:1053165886
Name:BRIGHTERSIDE AGENCY LLC
Entity type:Organization
Organization Name:BRIGHTERSIDE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-377-1326
Mailing Address - Street 1:9215 LARONA COVE CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5289
Mailing Address - Country:US
Mailing Address - Phone:301-377-1326
Mailing Address - Fax:
Practice Address - Street 1:9888 BISSONNET ST STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8369
Practice Address - Country:US
Practice Address - Phone:301-377-1326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health