Provider Demographics
NPI:1023909678
Name:SHINE BRIGHT SENIOR SERVICES
Entity type:Organization
Organization Name:SHINE BRIGHT SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-416-9723
Mailing Address - Street 1:3150 SW 145TH AVE # 381
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6616
Mailing Address - Country:US
Mailing Address - Phone:954-416-9723
Mailing Address - Fax:
Practice Address - Street 1:3150 SW 145TH AVENUE
Practice Address - Street 2:381
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6616
Practice Address - Country:US
Practice Address - Phone:954-416-9723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care