BRIGHT BEGINNINGS PDC INC. (NPI# 1023289436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023289436 |
| Entity Type | Organization |
| Organization Name | BRIGHT BEGINNINGS PDC INC. |
| Practice Address |
586 William Latham Dr Suite 6a Bourbonnais IL 60914-2327 |
| Mailing Address |
40 E Joliet St Suite A Schererville IN 46375-2054 |
| Practice Telephone | 8159320381 |
| Practice Fax Number | 8159320381 |
| Mailing Telephone | 2199792735 |
| Mailing Fax Number | 2198651311 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | MRS. AMANDA JOANNE KEMNETZ (OWNER/OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 8159320381 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
056-006344 | IL | Ambulatory Health Care Facilities |
| Street Address |
586 WILLIAM LATHAM DR SUITE 6A |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740224070 | Joselito V Sayson | Physical Therapist | 586 William Latham Dr, Suite 3, Bourbonnais, IL 60914-2327 | 2006-06-16 |
| 1255495057 | Amanda Joanne Kemnetz | Occupational Therapist | 586 William Latham Dr, Suite 6a, Bourbonnais, IL 60914-2327 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1699238170 | Soreida Mamie Fennerr | Clinic/Center | 7729 S Loomis Blvd, Chicago, IL 60620-3751 | 2019-04-10 |
| 1710432968 | Alvin Eades Center Inc | Clinic/Center | 905 W Superior Ave, Jacksonville, IL 62650-3117 | 2016-08-17 |
| 1740649193 | Smile More Dental 3 Corp | Clinic/Center | 1480 N Orchard Rd, #104, Aurora, IL 60506-7939 | 2016-02-14 |
| 1356778823 | Dia Corporate of Illinois, Inc | Clinic/Center | 1601 Broadway Ave, Mattoon, IL 61938-4096 | 2013-09-30 |
| 1689988248 | Flying High Gymnastics, Inc | Clinic/Center | 5400 East Ave, Countryside, IL 60525-3112 | 2010-08-05 |
| 1730366154 | Move N & Cruise N Kidz LLC | Clinic/Center | 1211 Deerfield Pkwy, Apt 101, Buffalo Grove, IL 60089-4563 | 2008-01-28 |
| 1821215062 | The Arc of Iroquois County | Clinic/Center | 700 E Elm St, Watseka, IL 60970-1400 | 2007-04-19 |
| 1992708960 | Easter Seals Joliet Region Inc. | Clinic/Center | 212 Barney Dr, Joliet, IL 60435-5271 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.