Organization Active NPI

Brightside Senior Living, LLC

  • In Home Supportive Care Agency
  • Temple Hills, MD
National Provider Identifier
1730957408
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIGHTSIDE SENIOR LIVING, LLC
Doing business as
Brightside Healthcare Services, LLC
Practice address
4888 Stamp Rd
Temple Hills, MD 20748-6715
Phone
(410) 625-7091
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Tameka Taylor
Title
Founder/Ceo
Phone
(240) 353-9809

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Assisted Living Facility 310400000X
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

4888 Stamp Rd
Temple Hills, MD 20748-6715

Mailing address

4888 Stamp Rd
Temple Hills, MD 20748-6715
Phone (410) 625-7091

Other names 1

  • Brightside Healthcare Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4888 Stamp Rd
Temple Hills, MD 20748
Phone (410) 625-7091

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1730957408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 STAMP RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486715",
            "telephone_number": "410-625-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 STAMP RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486715",
            "telephone_number": "410-625-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "240-353-9809"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Healthcare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.