Brightside Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BRIGHTSIDE LIVING LLC

Practice address

6601 Crystal Downes Dr SE
Caledonia, MI 49316-9090

Phone

(616) 803-5338

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By 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

Corey Husted

Title

Owner

Phone

(614) 329-8428

Specialties & licenses 1

Addresses

Tax ID family

Brightside Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brightside Living LLC

  • Adult Care Home Facility
  • Comstock Park, MI
  • NPI 1639724107
  NPD tax ID

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1124643648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "DOUGLAS",
            "state": "MI",
            "postal_code": "494060220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CRYSTAL DOWNES DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169090",
            "telephone_number": "616-803-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 Division Ave N",
            "address_purpose": "LOCATION",
            "city": "Comstock Park",
            "state": "MI",
            "postal_code": "493219546",
            "country_code": "US",
            "telephone_number": "616-551-1034",
            "fax_number": "616-551-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2611 Heathcliff St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495465621",
            "country_code": "US",
            "telephone_number": "616-570-0818",
            "fax_number": "616-570-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2646 Leonard St NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495043760",
            "country_code": "US",
            "telephone_number": "616-427-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3371 Mistywood St SE",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493169115",
            "country_code": "US",
            "telephone_number": "614-329-8428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 18 Mile Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Springs",
            "state": "MI",
            "postal_code": "493198622",
            "country_code": "US",
            "telephone_number": "616-263-9685",
            "fax_number": "616-263-9691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Rosemary St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495073573",
            "country_code": "US",
            "telephone_number": "616-551-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTSIDE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HUSTED",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-329-8428"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lynn Biscorner, RPH
• Timothy Jon Boersma
• Christopher H Born, PA
• Richard Bortle, R.PH.
• Laura S Bouch, D.O.
• Nathan Broek, LLMSW
• Racheal Brooker, NP
• Lindsey M Brooks, PT, DPT
• Robert Patrick Budinsky, M.D.
• Jessica Lee Buikema, DPT

• Assisted Living Facility (Mental Illness) in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.