Active NPI
Bright Lighthouse
- Case Manager/Care Coordinator
- South Portland, ME
National Provider Identifier
1346150562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BRIGHT LIGHTHOUSE
- Practice address
- 650 Main St Ste 201C
South Portland, ME 04106-5448 - Phone
- (207) 317-7412
- NPI assigned
- Sep 10, 2026
- 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
- Jacky B Bokundja
- Title
- Director
- Phone
- (207) 317-7412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
650 Main St Ste 201C
South Portland, ME 04106-5448
Mailing address
650 Main St Ste 201C
South Portland, ME 04106-5448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1346150562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 MAIN ST STE 201C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 MAIN ST STE 201C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065448",
"telephone_number": "207-317-7412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT LIGHTHOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "BOKUNDJA",
"authorized_official_first_name": "JACKY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "207-317-7412"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.