Brightmoor Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

126030031 Issued in GA

Legal business name

BRIGHTMOOR ASSISTED LIVING, INC.

Practice address

3223 Newnan Rd
Griffin, GA 30223-7114

Phone

(770) 227-9950

Fax

(770) 227-9958

NPI assigned

Dec 15, 2011

Last updated

Dec 15, 2011By 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

Penny Griffin

Title

Regional VP of Operations

Phone

(770) 228-1228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1639448913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 965",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240025",
            "telephone_number": "770-227-9950",
            "fax_number": "770-227-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "770-227-9950",
            "fax_number": "770-227-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMOOR ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "REGIONAL VP OF OPERATIONS",
        "authorized_official_telephone_number": "770-228-1228"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "126030031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katya Monet Brickman, MSN, CNM
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• Brighter Tomorrows Consulting, LLC
• Brightmoor Health Care Inc
• Brightmoor Healthcare DME, LLC (Legacy Home Care, LLC)
• Brightmoor Hospice, LLC
• Brightmoor Nursing Center, LLC
• Brightmoor Physician Services LLC

• Assisted Living Facility in Griffin, GA
• Providers in Griffin, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.