A Bright Care LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

A BRIGHT CARE LLC

Practice address

20326 Bandera Lake LN
Richmond, TX 77407-1505

Phone

(513) 328-5034

NPI assigned

Oct 16, 2018

Organization subpart

No

Name

Evelyn Tetang MamboNPI 1528346855

Title

Program Manager

Phone

(513) 328-5034

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Tetang Mambo, NP

  • Nurse Practitioner
  • Richmond, TX
  • NPI 1528346855
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2018.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1770059883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20326 BANDERA LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071505",
            "telephone_number": "513-328-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20326 BANDERA LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071505",
            "telephone_number": "513-328-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "MAMBO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "TETANG",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "513-328-5034"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richmond, TX
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.