Healthcare Provider Details

I. General information

NPI: 1215271861
Provider Name (Legal Business Name): BRIGHTON OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 E EGBERT ST
BRIGHTON CO
80601-2517
US

IV. Provider business mailing address

25117 SW PARKWAY AVE SUITE F
WILSONVILLE OR
97070-9697
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-4580
  • Fax: 303-659-2021
Mailing address:
  • Phone: 503-570-3405
  • Fax: 503-570-3315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KARL MILLER JR.
Title or Position: CHAIRMAN
Credential:
Phone: 503-570-3405