Brilliance Living Corporation
Organization Active NPI Assisted Living Facility · Edgewater, FL
NPI 1477052637 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1477052637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BRILLIANCE LIVING CORPORATION
- Practice address
- 2010 S Ridgewood Ave
Edgewater, FL 32141-4253 - Phone
- (386) 410-5145
- NPI assigned
- Feb 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Rinu Aswani
- Title
- Authorized Official
- Phone
- (386) 690-1709
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
2010 S Ridgewood Ave
Edgewater, FL 32141-4253
Mailing address
2010 S Ridgewood Ave
Edgewater, FL 32141-4253
Phone (386) 410-5145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022573700 | Medicaid | FL |
Other names
- Brilliance Assisted Living
Other providers in Edgewater, FL
- Leslie R Betts
- Bhi of Central Florida Corporation
- Noah Benjamin Bigman
- Regina A. Blanke
- Todd Vincent Boicourt
- Joshua Budvarson
- Anne Butler
- Rene Callanta
- Larry Cameron
- Rebecca Cancilla
All providers in Edgewater, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.