Healthcare Provider Details

I. General information

NPI: 1336940055
Provider Name (Legal Business Name): BRIGHTER HORIZON GROUP HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10672 PENDLETON ST
RIVERSIDE CA
92505-1740
US

IV. Provider business mailing address

14622 VENTURA BLVD STE 544
SHERMAN OAKS CA
91403-3600
US

V. Phone/Fax

Practice location:
  • Phone: 310-909-3817
  • Fax:
Mailing address:
  • Phone: 310-909-3817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IRINA VAYNTRUB
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 310-909-3817