Brightside Day Habilitation, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BRIGHTSIDE DAY HABILITATION, INC

Practice address

557 E Main St Ste a
Brusly, LA 70719-2210

Phone

(225) 615-7492

Fax

(225) 615-7018

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By 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

Mrs. Lizabeth Dell Johnson Jackson

Title

Administrator

Phone

(225) 650-5936

Specialties & licenses 1

Addresses

Tax ID family

Brightside Day Habilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Brightside Day Habilitation

  • Developmentally Disabled Services Day Training Agency
  • Brusly, LA
  • NPI 1982003398
  NPD tax ID

Locations

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1659713709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST STE A",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192210",
            "telephone_number": "225-615-7492",
            "fax_number": "225-615-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST STE A",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192210",
            "telephone_number": "225-615-7492",
            "fax_number": "225-615-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE DAY HABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON JACKSON",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-650-5936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baton Rouge Orthopaedic Clinic LLC (Baton Rouge Orthopaedic Clinic)
• Andrew B Bernales, MD
• BPH Enterprises, LLC (Westside Family Medicine)
• Brightside Day Habilitation
• Brightside Day Habilitation, Inc
• Melody Bynum, MA
• Sheralyn King Callihan-Favrot, P.T.
• Ledidra Carter-Bell
• Tamiko Clayton
• Convenient Care LLC (Lake After Hours Brusly)

• Developmentally Disabled Services Day Training Agency in Brusly, LA
• Providers in Brusly, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.