Brilliance Living Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRILLIANCE LIVING CORPORATION

Doing business as

Brilliance Assisted Living

Practice address

2010 S Ridgewood Ave
Edgewater, FL 32141-4253

Phone

(386) 410-5145

NPI assigned

Feb 2, 2018

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rinu Aswani

Title

Authorized Official

Phone

(386) 690-1709

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brilliance Assisted Living Doing business as

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1477052637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414253",
            "telephone_number": "386-410-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414253",
            "telephone_number": "386-410-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANCE LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "ASWANI",
        "authorized_official_first_name": "RINU",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "386-690-1709"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022573700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliance Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie R Betts
• Bhi of Central Florida Corporation (SafeNet Non-Emergency Transportation)
• Noah Benjamin Bigman, FNP-C
• Regina A. Blanke
• Todd Vincent Boicourt
• Joshua Budvarson, OTR/L
• Anne Butler, M.D.
• Rene Callanta, LMT
• Larry Cameron
• Rebecca Cancilla, LMHC

• Assisted Living Facility in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.