Organization
BRIGHT RISING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVERNA TALILLIAN PERRY (AGENCY DIRECTOR)
(704) 493-4984
Entity
Organization
Contact information
Practice address
57 UNION STREET S PMB 1280, CONCORD, NC 28025-6746
(704) 493-4984
Mailing address
57 UNION STREET S PMB 1280, CONCORD, NC 28025-6746
(704) 493-4984
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/06/2025
Last updated
06/03/2025
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