Provider Demographics
NPI:1710776828
Name:BRIGHT BEGINNING HOME SUPPORT LLC
Entity type:Organization
Organization Name:BRIGHT BEGINNING HOME SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEDOLAPO
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-540-9500
Mailing Address - Street 1:329 MICKLEY RD APT K
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-6229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:329 MICKLEY RD APT K
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-6229
Practice Address - Country:US
Practice Address - Phone:570-540-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care