BRIGHT LIFE CARE RECOVERY CENTER LLC
NPI 1013608496
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ
- Organization
- Residential Treatment Facility, Intellec...
About BRIGHT LIFE CARE RECOVERY CENTER LLC
This page provides the complete NPI Profile along with additional information for Bright Life Care Recovery Center Llc, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1013608496 assigned on May 2023. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Bright Ngabire Ntimpa (Administrator/owner)
- NPI
- 1013608496 Verify this NPI
- Provider Name
- BRIGHT LIFE CARE RECOVERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 5060 N 19TH AVE STE 317 PHOENIX, AZ 85015
- Location Phone
- (602) 904-0088
- Mailing Address
- 2220 W MISSION LN APT 2092 PHOENIX, AZ 85021
- Mailing Phone
- (602) 904-0088
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2023
- Last Update Date
- 05-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251J00000X | Agencies | Nursing Care | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QR0800X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PHOENIX, AZ 85015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013608496, enumerated as an "organization" on May 17, 2023.
The provider is located at 5060 N 19TH AVE STE 317 PHOENIX, AZ 85015 and the phone number is (602) 904-0088.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
