Healthcare Provider Details

I. General information

NPI: 1619842978
Provider Name (Legal Business Name): BRIGHTWELL ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15433 E HAMPDEN AVE C,D
AURORA CO
80013-2469
US

IV. Provider business mailing address

15433 E HAMPDEN AVE
AURORA CO
80013-2469
US

V. Phone/Fax

Practice location:
  • Phone: 720-620-0303
  • Fax: 720-620-0303
Mailing address:
  • Phone: 720-620-0303
  • Fax: 720-620-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HASABELRASOL E IBRAHIM
Title or Position: PRESIDENT
Credential:
Phone: 720-620-0303