A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC (NPI# 1699121020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699121020 |
| Entity Type | Organization |
| Organization Name | A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC |
| Practice Address |
2708 S Hemlock Ave Broken Arrow OK 74012-0817 |
| Practice Telephone | 9182868686 |
| Practice Fax Number | 9182861404 |
| Mailing Telephone | 9182868686 |
| Mailing Fax Number | 9182861404 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | PATTI LYNN BIRGE (OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 9182868686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
RC72767276 | OK | Nursing & Custodial Care Facilities |
| Street Address |
2708 S HEMLOCK AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-0817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994596 | Abrighterlightresdiential Care Home LLC | Residential Treatment Facility, Physical Disabilities | 2708 S Hemlock Ave, Broken Arrow, OK 74012-0817 | 2015-06-10 |
| 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 | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376075051 | Servant Living Center - Beggs, LLC | Custodial Care Facility | 511 N Chippewa, Beggs, OK 74421-2053 | 2017-03-31 |
| 1497294714 | Joyce Faye's House | Custodial Care Facility | 2126 Meench Dr, Moore, OK 73170-7494 | 2017-02-20 |
| 1518312404 | Serenity Residential Home Care | Custodial Care Facility | 1129 N Harvard Ave, Oklahoma City, OK 73127-4021 | 2016-04-28 |
| 1366780280 | A Place Close To Home Adult Day Care | Custodial Care Facility | 12220 S State Highway 51, Coweta, OK 74429-7169 | 2013-01-28 |
| 1457620221 | 202 Haley Inc. | Custodial Care Facility | 2911 N Grand St, Enid, OK 73701-1320 | 2011-12-22 |
| 1801170139 | Jenesis Care Homes, Inc | Custodial Care Facility | 8234 S Sandusky Ave, Tulsa, OK 74137-1833 | 2011-10-05 |
| 1841577905 | Spanish Cove Housing Authority | Custodial Care Facility | 11 Palm Ave, Yukon, OK 73099-5645 | 2011-11-03 |
| 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.