Organization Active NPI

Bright Horizon Community Inc

  • In Home Supportive Care Agency
  • Miami Gardens, FL
National Provider Identifier
1053027722
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIGHT HORIZON COMMUNITY INC
Practice address
20720 NW 1St CT
Miami Gardens, FL 33169-2248
Phone
(305) 525-9195
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Demetrius Raphael
Title
President/Director/Owner
Phone
(305) 525-9195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

20720 NW 1St CT
Miami Gardens, FL 33169-2248

Mailing address

1150 NW 184TH Dr
Miami Gardens, FL 33169-4272

Other identifiers 1

IdentifierTypeStateIssuer
003015000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1053027722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 184TH DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 NW 1ST CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692248",
            "telephone_number": "305-525-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZON COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR/OWNER",
        "authorized_official_telephone_number": "305-525-9195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003015000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.