Healthcare Provider Details

I. General information

NPI: 1194253005
Provider Name (Legal Business Name): BRIGHTER DAY ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2017
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 W MAIN ST FL 2
BAY SHORE NY
11706-8308
US

IV. Provider business mailing address

PO BOX 1008
DEER PARK NY
11729-0944
US

V. Phone/Fax

Practice location:
  • Phone: 631-993-4001
  • Fax: 631-328-5626
Mailing address:
  • Phone: 631-993-4001
  • Fax: 631-328-5330

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: PATRICIA PACAUD-BREZAULT
Title or Position: PRESIDENT
Credential:
Phone: 631-993-4001