Healthcare Provider Details

I. General information

NPI: 1700692621
Provider Name (Legal Business Name): BRIGHTER DAYS LEARNING ACDEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 N HOLLAND SYLVANIA RD
TOLEDO OH
43615-4514
US

IV. Provider business mailing address

1020 N HOLLAND SYLVANIA RD
TOLEDO OH
43615-4514
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-3376
  • Fax:
Mailing address:
  • Phone: 419-720-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: TIFFINY MACK
Title or Position: OWNER
Credential:
Phone: 220-238-9034