Provider Demographics
NPI:1386530582
Name:BRIGHTHAVEN CARE LLC
Entity type:Organization
Organization Name:BRIGHTHAVEN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALIMASI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAJUNJU
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:513-276-3928
Mailing Address - Street 1:6425 HUGHES GLEN CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1213
Mailing Address - Country:US
Mailing Address - Phone:513-276-3928
Mailing Address - Fax:
Practice Address - Street 1:6425 HUGHES GLEN CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-1213
Practice Address - Country:US
Practice Address - Phone:513-276-3928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty