Provider Demographics
NPI:1760674352
Name:BRITE HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:BRITE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OYIBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-348-8281
Mailing Address - Street 1:10715 GULFDALE ST STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3632
Mailing Address - Country:US
Mailing Address - Phone:210-348-8281
Mailing Address - Fax:210-348-8481
Practice Address - Street 1:10715 GULFDALE STREET
Practice Address - Street 2:240
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:210-348-8281
Practice Address - Fax:210-348-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1730285Medicaid
TX453107Medicare Oscar/Certification