Brighter Days Ppec of Palm Bay

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

BRIGHTER DAYS PPEC OF PALM BAY

Practice address

1464 Troutman Blvd NE Ste 106
Palm Bay, FL 32905-4101

Phone

(321) 655-5154

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica M Medina

Title

Owner, President

Phone

(321) 610-8718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1669206124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 TROUTMAN BLVD NE STE 106",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054101",
            "telephone_number": "321-610-8718",
            "fax_number": "321-655-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 TROUTMAN BLVD NE STE 106",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054101",
            "telephone_number": "321-655-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DAYS PPEC OF PALM BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "321-610-8718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brevard Health Alliance Inc
• Brevard Institute for Mental Health Professionals
• Brevard Wellness Clinc 1 LLC
• Brian Hamzavi MD, LLC
• Briant G Moyles DPM PA
• Adalgys M Brito, PHARMD
• Patricia Anne Britton
• Sandra Allene Brock
• Sarah Brodax
• Rebecca Brooks, BSW

• Pediatric Skilled Nursing Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.