Organization Active NPI

Brighter Mission

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1124616891
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BRIGHTER MISSION
Practice address
1900 Central Ave NE Ste 108
Minneapolis, MN 55418-4879
Phone
(651) 347-8500
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Norma Pacheco
Title
Owner
Phone
(651) 347-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1900 Central Ave NE Ste 108
Minneapolis, MN 55418-4879

Mailing address

1900 Central Ave NE Ste 108
Minneapolis, MN 55418-4879
Phone (651) 347-8500

National Provider Directory

National Provider Directory

Locations

1900 Central Ave NE
Ste 108
Minneapolis, MN 55418
Phone (651) 347-8500

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1124616891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRAL AVE NE STE 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184879",
            "telephone_number": "651-347-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRAL AVE NE STE 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184879",
            "telephone_number": "651-347-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-347-8500"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.