ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC (NPI# 1073994596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073994596 |
| Entity Type | Organization |
| Organization Name | ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC |
| Practice Address |
2708 S Hemlock Ave Broken Arrow OK 74012-0817 |
| Practice Telephone | 9183785686 |
| Practice Fax Number | 9182861404 |
| Mailing Telephone | 9183785686 |
| Mailing Fax Number | 9182861404 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | PATTI LYNN BIRGE (OWNER/ADMINISTOR) |
| Authorized Official Telephone | 9183785686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | RC7276 | OK | Residential Treatment Facilities |
| Street Address |
2708 S HEMLOCK AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-0817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121020 | A Brighter Light Residential Care Home LLC | Custodial Care Facility | 2708 S Hemlock Ave, Broken Arrow, OK 74012-0817 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376848051 | New Generation Therapy, LLC | Residential Treatment Facility, Physical Disabilities | 105 E Pekin Ave, Morris, OK 74445-2233 | 2011-01-11 |
| 1982938072 | Legend At Jefferson's Garden | Residential Treatment Facility, Physical Disabilities | 15401 N Pennsylvania Ave, Edmond, OK 73013 | 2009-09-23 |
| 1942490297 | Next Step Network | Residential Treatment Facility, Physical Disabilities | 1004 E Highway 54, Guymon, OK 73942-4549 | 2007-08-01 |
| 1669686689 | Micha M Sale | Residential Treatment Facility, Physical Disabilities | 13313 N Meridian Ave Ste D3, Oklahoma City, OK 73120-8316 | 2007-05-09 |
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.