A Bright Foundation LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A BRIGHT FOUNDATION LLC

Practice address

1633 Greenridge Dr Unit 7108
Burleson, TX 76028-2983

Phone

(682) 730-0670

NPI assigned

Dec 5, 2023

Last updated

Dec 6, 2023By 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

Mr. Javier Enamorado

Title

Chief Financial Officer

Phone

(682) 730-0670

Specialties & licenses 1

Addresses

Other names 1

• A Bright Foundation LLC Former legal business name

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1750158267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 GREENRIDGE DR UNIT 7108",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282983",
            "telephone_number": "682-730-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 GREENRIDGE DR UNIT 7108",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282983",
            "telephone_number": "682-730-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHT FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ENAMORADO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "682-730-0670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Bright Foundation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "A Bright Foundation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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