Bright Moon Group Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

BRIGHT MOON GROUP HOME LLC

Practice address

2600 NE 6TH PL
Cape Coral, FL 33909-4375

Phone

(239) 245-4019

NPI assigned

May 17, 2021

Last updated

May 17, 2021By 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

Jean Nicolas Orelus, REGISTERED NURSE

Title

Director

Phone

(239) 245-4019

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1841864543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE 6TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094375",
            "telephone_number": "239-245-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE 6TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094375",
            "telephone_number": "239-245-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MOON GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "ORELUS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "NICOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-245-4019",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.