NPIMap

Organization Active NPI

Brighter Heights Arizona, LLC Dba Mountain View

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott Valley, AZ
National Provider Identifier
1497847511
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH1927 Issued in AZ
Legal business name
BRIGHTER HEIGHTS ARIZONA, LLC DBA MOUNTAIN VIEW
Practice address
4558 N. Miner Rd.
Prescott Valley, AZ 86314
Phone
(928) 777-3280
Fax
(928) 717-1660
NPI assigned
Sep 28, 2006
Organization subpart
Yes
Parent organization
BRIGHTER HEIGHTS ARIZONA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Ms. Brooke Wilson
Title
Senior Credentialing Specialist
Phone
(928) 910-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH1927 AZ Primary

Addresses

Primary practice location

4558 N. Miner Rd.
Prescott Valley, AZ 86314

Mailing address

2517 N Great Western Dr.
Prescott Valley, AZ 86314-2597
Phone (928) 777-3280

Other identifiers 2

IdentifierTypeStateIssuer
58331MedicaidAZ
583311OtherAZAHCCCS ID

Other names 1

  • SequelCare of Arizona Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sequelcare of Arizona LLC15 organizations share this tax ID, including this one
Part of
Sequelcare of Arizona LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1497847511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR.",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-777-3280",
            "fax_number": "928-227-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 N. MINER RD.",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-777-3280",
            "fax_number": "928-717-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HEIGHTS ARIZONA, LLC DBA MOUNTAIN VIEW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTER HEIGHTS ARIZONA, LLC",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "928-910-7644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH1927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58331",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID",
            "identifier": "583311",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SequelCare of Arizona",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.