Brightside Mentorship LLC

Organization Active NPI In Home Supportive Care Agency · Superior, CO

NPI 1245940790 · NPPES record last updated Nov 24, 2022

Key facts

NPI
1245940790
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BRIGHTSIDE MENTORSHIP LLC
Practice address
1995 E Coalton Rd Apt 75-103
Superior, CO 80027-4547
Phone
(215) 606-7803
NPI assigned
Nov 24, 2022
Organization subpart
No

Authorized official

Name
Patrick Kaisinger
Title
President
Phone
(215) 606-7803

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1995 E Coalton Rd Apt 75-103
Superior, CO 80027-4547

Mailing address

1995 E Coalton Rd Apt 75-103
Superior, CO 80027-4547
Phone (215) 606-7803

Other providers in Superior, CO

All providers in Superior, CO · In Home Supportive Care Agency in Colorado

Sources for this page

Verify at the official NPI Registry.