MEDICARE: BRIGHTMOOR ASSISTED LIVING, 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
1	310400000X	Assisted Living Facility	126030031	GA

General Provider Information

NPI Number	:	1639448913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTMOOR ASSISTED LIVING, INC.

Provider Business Mailing Address
First Line	:	P. O. BOX 965
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-0025
Country	:	US
Telephone Number	:	770-227-9950
Fax Number	:	770-227-9958

Provider Business Practice Location Address
First Line	:	3223 NEWNAN RD
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30223-7114
Country	:	US
Telephone Number	:	770-227-9950
Fax Number	:	770-227-9958

Authorized Official
Title or Position	:	REGIONAL VP OF OPERATIONS
Name	:	PENNY GRIFFIN
Credential	:
Telephone Number	:	770-228-1228

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	12/15/2011

Similar Medicare Providers

1093702565 — BRIGHTMOOR HEALTH CARE INC
Practice Location Address:

3235 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-228-8599
Practice Fax: 770-228-6618

1275520751 — BRIGHTMOOR HOSPICE, LLC
Practice Location Address:

3247 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-467-9930
Practice Fax: 770-467-9932

1154763209 — JILLIAN M MILLS
Practice Location Address:

3235 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-441-4049
Practice Fax:

1114393717 — MRS. ALLISON DANIELLE PARKER FNP
Practice Location Address:

3247 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-467-9930
Practice Fax:

1598246878 — MRS. EMMA LEDBETTER
Practice Location Address:

3247 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-467-9930
Practice Fax:

1225701667 — BRIGHTMOOR NURSING CENTER, LLC
Practice Location Address:

3235 NEWNAN RD
GRIFFIN, GA
30223-7114

Practice Phone: 770-228-8599
Practice Fax: 770-228-6618

Directions to “BRIGHTMOOR ASSISTED LIVING, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.