Healthcare Provider Details

I. General information

NPI: 1558225383
Provider Name (Legal Business Name): BRIGHTVIEW RESIDENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13801 SW 46TH LN
MIAMI FL
33175-7903
US

IV. Provider business mailing address

13801 SW 46TH LN
MIAMI FL
33175-7903
US

V. Phone/Fax

Practice location:
  • Phone: 305-225-8841
  • Fax: 305-225-8841
Mailing address:
  • Phone: 305-225-8841
  • Fax: 305-225-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LAYS CABEZA CHAVEZ
Title or Position: OWNER/ADMIN
Credential:
Phone: 305-225-8841