Healthcare Provider Details

I. General information

NPI: 1154782985
Provider Name (Legal Business Name): A BRIGHTER COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 W 50TH AVE
WHEAT RIDGE CO
80033-2220
US

IV. Provider business mailing address

9701 W 50TH AVE
WHEAT RIDGE CO
80033-2220
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-3382
  • Fax:
Mailing address:
  • Phone: 303-425-3382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LEAH MARTIN
Title or Position: COO
Credential: PHD
Phone: 303-956-2210