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NPI Code Detail

MEDICARE: BRIGHTER HORIZON GROUP HOMES, INC.

MEDICARE: BRIGHTER HORIZON GROUP HOMES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1295482461
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER HORIZON GROUP HOMES, INC.
Provider Business Mailing Address
First Line : 7849 OCEANUS DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-2042
Country : US
Telephone Number : 310-909-3817
Fax Number :
Provider Business Practice Location Address
First Line : 5417 PACER VALLEY CT
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-4304
Country : US
Telephone Number : 661-412-7611
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : IRINA VAYNTRUB
Credential :
Telephone Number : 310-909-3817
Provider Enumeration Date : 03/07/2022
Last Update Date : 06/06/2023

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