Active NPI
Brightway Adult Daycare Center LLC
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1093146789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BRIGHTWAY ADULT DAYCARE CENTER LLC
- Practice address
- 12808 Veterans Memorial Dr
Houston, TX 77014-2004 - Phone
- (832) 602-5114
- Fax
- (281) 661-8186
- NPI assigned
- Dec 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chinenye Ugbala
- Title
- Executive Director
- Phone
- (832) 602-5114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Administrator Registered Nurse | 163WA2000X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Meals Provider | 174200000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Family Medicine Physician | 207Q00000X | TX | Primary | |
| Case Management Agency | 251B00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | 100655 | TX | |
| Community Health Clinic/Center | 261QC1500X | |||
| Assisted Living Facility | 310400000X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
12808 Veterans Memorial Dr
Houston, TX 77014-2004
Mailing address
12808 Veterans Memorial Dr
Houston, TX 77014-2004
Phone (832) 602-5114
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Houston, TX
- NPI 1639477847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1093146789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12808 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142004",
"telephone_number": "832-602-5114",
"fax_number": "281-661-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12808 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142004",
"telephone_number": "832-602-5114",
"fax_number": "281-661-8186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTWAY ADULT DAYCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-05",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "UGBALA",
"authorized_official_first_name": "CHINENYE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "832-602-5114"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": "100655",
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Brightside Counseling Center
- Brightside Hospice and Palliative Care Corporation
- Brightstar Community Based Services
- Brightstar Hospitality Inc (Home Care Assitance of The Woodlands)
- Brightway Adult Day Care Center LLC
- Brightway Medical Billing, LLC
- Brightway Medical Management LLC
- Brightway Personal Care Home
- Brightway Therapy Services LLC
- Eileen Brightwell, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.