# SHINE BRIGHT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shine Bright Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134954209
- **Authorized official:** BAYKHAM KEODOUANGDY (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (907) 346-6200

## Contact information

- **Practice address:** 400 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-3877
- **Practice address phone:** (907) 250-9935
- **Mailing address:** 400 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-3877
- **Mailing address phone:** (907) 250-9935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2024
- **Last updated:** 01/23/2025