Brighter Life

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BRIGHTER LIFE

Practice address

738 Kew Gardens Dr
Las Vegas, NV 89178-1280

Phone

(775) 870-5257

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Kristal Wilson

Title

Owner

Phone

(775) 870-5257

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• Trenton Blanton II

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1306338314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1457911737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 KEW GARDENS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891781280",
            "telephone_number": "775-870-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 KEW GARDENS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891781280",
            "telephone_number": "775-870-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-870-5257"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Bright
• Brighter Day Wellness Center
• Brighter Days Counseling Center LLC
• Brighter Development Behavorial Health Services
• Brighter Futures LLC
• Brighter Life of Nevada LLC
• Brighter Life Psychiatric Services
• Brighter Pediatrics
• Brightercare Homecare LLC
• Brighton Hospice Nevada, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.