Brightside Living Support Care Services LLC
Organization Active NPI Adult Care Home Facility · Mulberry, FL
NPI 1124903810 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1124903810
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- BRIGHTSIDE LIVING SUPPORT CARE SERVICES LLC
- Practice address
- 4733 Hickory Stream LN
Mulberry, FL 33860-7915 - Phone
- (813) 466-8968
- NPI assigned
- Aug 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Shameka Haygood
- Title
- Managerr
- Phone
- (813) 466-8968
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
4733 Hickory Stream LN
Mulberry, FL 33860-7915
Mailing address
4733 Hickory Stream LN
Mulberry, FL 33860-7915
Phone (813) 466-8968
Other providers in Mulberry, FL
- Angelic Care Services LLC.
- Juana Gabriela Bauzan
- Patricia C Bayshore
- Behavioral Approaches
- Susan F Bernal
- Norma Burke
- Edna Carrasco
- Central Florida Health Care
- Central Florida Health Care, Inc
- Central Florida Health Care, Inc
All providers in Mulberry, FL · Adult Care Home Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.