Active NPI
Bright Beginnings1
- Mental Illness Intermediate Care Facility
- Fort Wayne, IN
National Provider Identifier
1336958974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- Legal business name
- BRIGHT BEGINNINGS1
- Practice address
- 3120 Broadway
Fort Wayne, IN 46807-1509 - Phone
- (260) 704-5466
- NPI assigned
- Jan 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kronda Huddleston
- Title
- Owner
- Phone
- (260) 704-5466
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Mental Illness Intermediate Care Facility | 310500000X | Primary | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X |
Addresses
Primary practice location
3120 Broadway
Fort Wayne, IN 46807-1509
Mailing address
811 E Pontiac St
Fort Wayne, IN 46803-3459
Phone (260) 704-5466
National Provider Directory
National Provider DirectoryLocations
811 E Pontiac St
Fort Wayne, IN 46803
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1336958974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E PONTIAC ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468033459",
"telephone_number": "260-704-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 BROADWAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468071509",
"telephone_number": "260-704-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT BEGINNINGS1",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "HUDDLESTON",
"authorized_official_first_name": "KRONDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-704-5466"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.