Active NPI
Brightside Homes Inc
- Adult Care Home Facility
- Raleigh, NC
National Provider Identifier
1861860199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- BRIGHTSIDE HOMES INC
- Practice address
- 4133 White Pine Dr
Raleigh, NC 27612-3737 - Phone
- (919) 986-8800
- NPI assigned
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christiana Ogidi, RN
- Title
- Director
- Phone
- (919) 986-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
4133 White Pine Dr
Raleigh, NC 27612-3737
Mailing address
1721 Beacon Bluff St
Raleigh, NC 27604-5446
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1861860199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 BEACON BLUFF ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 WHITE PINE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123737",
"telephone_number": "919-986-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTSIDE HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "OGIDI",
"authorized_official_first_name": "CHRISTIANA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-986-8800",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.