NPIMap

Organization Active NPI

Brighter Heights Arizona, LLC -Foster Care

  • Public Health or Welfare Agency
  • Prescott Valley, AZ
National Provider Identifier
1154443331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
A7 Issued in AZ
Legal business name
BRIGHTER HEIGHTS ARIZONA, LLC -FOSTER CARE
Practice address
8603 E. Eastridge Drive
Ste. a
Prescott Valley, AZ 86314
Phone
(928) 777-3280
Fax
(928) 778-1252
NPI assigned
Apr 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHTER HEIGHTS ARIZONA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Brooke Wilson
Title
Senior Credentialing Specialist
Phone
(928) 910-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X A7 AZ Primary

Addresses

Primary practice location

8603 E. Eastridge Drive
Ste. a
Prescott Valley, AZ 86314

Mailing address

2517 N Great Western Dr.
Suite P
Prescott Valley, AZ 86314-2597
Phone (928) 777-3280

Other names 1

  • SequelCare of Arizona, LLC-Foster Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Brighter Heights Arizona LLC Dba Blue Ridge Manor15 organizations share this tax ID, including this one
Part of
Brighter Heights Arizona LLC Dba Blue Ridge Manor

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154443331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR.",
            "address_2": "SUITE P",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-777-3280",
            "fax_number": "928-227-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 E. EASTRIDGE DRIVE",
            "address_2": "STE. A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-777-3280",
            "fax_number": "928-778-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HEIGHTS ARIZONA, LLC -FOSTER CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTER HEIGHTS ARIZONA, LLC",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "928-910-7644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "A7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SequelCare of Arizona, LLC-Foster Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.