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BRILLIANT MIND WELLNESS LLC
NPI 1043104672
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Phoenix, AZ

Active since June 06, 2025
149 E JOAN D ARC AVE, PHOENIX, AZ 85022(623) 565-3555 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Jun 6, 2025 (2 updates tracked since 2025).

About Brilliant Mind Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRILLIANT MIND WELLNESS LLC (NPI 1043104672), doing business as Forever Home, is a healthcare organization registered as an assisted living, behavioral disturbances in Phoenix, Arizona and active in the NPI registry since June 2025. The organization lists Ulysses Laurente, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043104672
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameBRILLIANT MIND WELLNESS LLC
Location Address149 E JOAN D ARC AVEPhoenix, AZ 85022-4704
Mailing Address13384 W Rimrock StSurprise, AZ 85374-5211 · (623) 565-3555
Phone(623) 565-3555
Organization SubpartNo
Authorized OfficialUlysses LaurenteAdministrator · (623) 565-3555
Enumeration DateJune 6, 2025
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1043104672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
149 E JOAN D ARC AVE, Phoenix, AZ 85022
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Other Names 1

Doing Business AsForever Home

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN D ARC BEHAVIORAL HOME
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
149 E JOAN D ARC AVE
PHOENIX, AZ 85022
Maricopa County (602) 296-5065
JOAN D ARC BEHAVIORAL HOME LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
149 E JOAN D ARC AVE
PHOENIX, AZ 85022
Maricopa County (602) 410-2569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brilliant Mind Wellness LLC's NPI number?

The NPI number for Brilliant Mind Wellness LLC is 1043104672. It was assigned to this organization in the NPPES registry on June 6, 2025. The provider is doing business as Forever Home.

Where is Brilliant Mind Wellness LLC located?

Brilliant Mind Wellness LLC is located at 149 E Joan D Arc Ave, Phoenix, AZ 85022. The listed phone number is (623) 565-3555.

What is Brilliant Mind Wellness LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Brilliant Mind Wellness LLC was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.