Organization Active NPI

Bright Light Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Cornelius, OR
National Provider Identifier
1770488686
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BRIGHT LIGHT CARE LLC
Practice address
1531 S Dogwood St
Cornelius, OR 97113-7416
Phone
(757) 291-8711
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Pascal Shukuru
Title
Member
Phone
(757) 291-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1531 S Dogwood St
Cornelius, OR 97113-7416

Mailing address

1531 S Dogwood St
Cornelius, OR 97113-7416
Phone (757) 291-8711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1770488686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S DOGWOOD ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971137416",
            "telephone_number": "757-291-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S DOGWOOD ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971137416",
            "telephone_number": "757-291-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "SHUKURU",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-291-8711"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.