Provider Demographics
NPI:1902450505
Name:BRIGHTLIGHT INFUSION HH AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:BRIGHTLIGHT INFUSION HH AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-814-0101
Mailing Address - Street 1:7322 SOUTHWEST FWY
Mailing Address - Street 2:STE 645 RM A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2065
Mailing Address - Country:US
Mailing Address - Phone:281-406-3274
Mailing Address - Fax:281-406-3689
Practice Address - Street 1:7322 SOUTHWEST FWY STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2065
Practice Address - Country:US
Practice Address - Phone:281-406-3274
Practice Address - Fax:281-406-3609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care