NPIMap

Organization Active NPI

Bright Future Community Health Care Services

  • Substance Abuse Rehabilitation Facility
  • Essex, MD
National Provider Identifier
1124684139
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRIGHT FUTURE COMMUNITY HEALTH CARE SERVICES
Practice address
511A Eastern Blvd
Essex, MD 21221-6702
Phone
(443) 912-4612
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Emmanuella E Owobu, LCPCNPI 1851738835
Title
Owner
Phone
(443) 912-4612

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

511A Eastern Blvd
Essex, MD 21221-6702

Mailing address

907 Foxwood LN
Essex, MD 21221-5929
Phone (443) 912-4612

Other identifiers 1

IdentifierTypeStateIssuer
7500181MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Emmanuella Owobu LCPC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1124684139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FOXWOOD LN",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215929",
            "telephone_number": "443-912-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511A EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216702",
            "telephone_number": "443-912-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURE COMMUNITY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "OWOBU",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-912-4612",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7500181",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.