Organization Active NPI

Brighter Tomorrow'S Family Services, LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1710586144
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTER TOMORROW'S FAMILY SERVICES, LLC
Practice address
644 N Country Club Dr Ste D
Mesa, AZ 85201-4983
Phone
(702) 210-5865
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Derrisha Braggs
Title
Coo
Phone
(480) 808-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

644 N Country Club Dr Ste D
Mesa, AZ 85201-4983

Mailing address

644 N Country Club Dr Ste D
Mesa, AZ 85201-4983
Phone (702) 210-5865

Other identifiers 1

IdentifierTypeStateIssuer
OOOOOOOOMedicaidAZ

National Provider Directory

National Provider Directory

Locations

644 N Country Club Dr
Ste D
Mesa, AZ 85201
Phone (702) 210-5865

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1710586144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N COUNTRY CLUB DR STE D",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014983",
            "telephone_number": "702-210-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 N COUNTRY CLUB DR STE D",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014983",
            "telephone_number": "702-210-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER TOMORROW'S FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "BRAGGS",
        "authorized_official_first_name": "DERRISHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-808-5777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOOOOOOO",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.