Brilliant Mind Wellness LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

BRILLIANT MIND WELLNESS LLC

Doing business as

Forever Home

Practice address

149 E Joan D Arc Ave
Phoenix, AZ 85022-4704

Phone

(623) 565-3555

NPI assigned

Jun 6, 2025

Last updated

Mar 31, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ulysses Laurente

Title

Administrator

Phone

(623) 565-3555

Specialties & licenses 1

Addresses

Other names 1

• FOREVER HOME Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1043104672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13384 W RIMROCK ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745211",
            "telephone_number": "623-565-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E JOAN D ARC AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224704",
            "telephone_number": "623-565-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MIND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "LAURENTE",
        "authorized_official_first_name": "ULYSSES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-565-3555"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREVER HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Brignall, LAC
• Lori Kim Brill, PSYD
• Frederick Joseph Brillas, D.C.
• Brilliant Arrows LLC
• Brilliant Care LLC
• Sean Joseph Brimacombe, MD
• Brime Care LLC
• Aimee Brimhall, CRNA
• Jalan T Brimhall
• Melissa Brimhall, MS, CCC-SLP

• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.