BRIGHTSIDE LIVING LLC


Address: 4312 Division Ave N, Comstock Park, MI 49321-9546
Phone: 6143298428

BRIGHTSIDE LIVING LLC (NPI# 1639724107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639724107
Entity Type Organization
Organization Name BRIGHTSIDE LIVING LLC
Practice Address 4312 Division Ave N
Comstock Park
MI 49321-9546
Mailing Address Po Box 220
Douglas
MI 49406
Practice Telephone 6143298428
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Authorized Official Name COREY HUSTED (OWNER/PRESIDENT)
Authorized Official Telephone 6143298428
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124643648 Brightside Living LLC Assisted Living Facility 6601 Crystal Downes Dr Se, Caledonia, MI 49316-9090 2020-06-10

Office Location

Street Address 4312 DIVISION AVE N
City COMSTOCK PARK
State MI
Zip Code 49321-9546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043759350 Harmony Cove LLC Foster Care Agency 4312 Division Ave N, Comstock Park, MI 49321-9546 2017-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386170546 Carlie Little Rehabilitation Practitioner 3913 Leland Ave. Nw, Comstock Park, MI 49321 2017-05-10
1417497892 Debra Andree Custodial Care Facility 609-7 Mile Rd Nw, Comstockpark, MI 49321 2017-03-03
1821484700 Allan Smith Registered Nurse 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 2015-04-08
1518083864 Alpine Family Dentistry PC Dentist 4040 Alpine Ave Nw, Comstock Park, MI 49321 2007-03-21
1548345630 James P Patyi Optometrist 3999 Alpine Ave, Comstock Park, MI 49321 2006-10-26
1871689638 Kent Pediatrics, PC Pediatrics 4735 West River Dr., Comstock Park, MI 49321 2006-10-05
1053804534 Zachary Eddy Physical Therapist 4615 W River Dr Ne, Comstock Park, MI 49321-7924 2018-06-11
1326052929 Gregory P. Houghteling Dentist 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 2006-07-28
1194084780 Detalmax PC Dentist 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 2012-05-16
1154361293 Jeffrey John Vrielink Psychiatry & Neurology 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 2006-06-07
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

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1063028694 Zcare Custodial Care Facility 8676 Auburn St, Detroit, MI 48228-2919 2020-09-18
1306452917 Caring Hearts Afc Custodial Care Facility 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 2020-09-18
1790397594 St. Ruth's House of Hope LLC Custodial Care Facility 3100 S Electric St, Detroit, MI 48217-1133 2020-08-21
1497364442 Bolton Brook Manor Custodial Care Facility 4554 Thomas Rd, Metamora, MI 48455-9220 2020-07-27
1578171104 Dream Housing Opportunities LLC Custodial Care Facility 304 Wetmore St, Howell, MI 48843-1559 2020-07-20
1194343046 Creekside Place, Inc. Custodial Care Facility 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 2020-07-08
1174140420 Linda Perrault Custodial Care Facility 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 2020-07-02
1063039923 Visel Afc, Inc. Custodial Care Facility 6565 Whitneyville Ave Se, Alto, MI 49302-9027 2020-06-26
1982226775 August Winter House, Inc. Custodial Care Facility 2111 N Latson Rd, Howell, MI 48855-9750 2020-05-14
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Competitor

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City COMSTOCK PARK
Zip Code 49321

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Dataset Information

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.

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