Organization Active NPI

Broken Ridge Healthcare, Inc.

Doing business as Brighton Care Center

  • Respite Care
  • Brighton, CO
National Provider Identifier
1952009300
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
BROKEN RIDGE HEALTHCARE, INC.
Doing business as
Brighton Care Center
Practice address
2025 E Egbert St
Brighton, CO 80601-2517
Phone
(303) 659-4580
Fax
(303) 659-9249
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU Primary

Addresses

Primary practice location

2025 E Egbert St
Brighton, CO 80601-2517

Mailing address

2025 E Egbert St
Brighton, CO 80601-2517
Phone (303) 659-4580

Other names 1

  • Brighton Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brighton Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1952009300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012517",
            "telephone_number": "303-659-4580",
            "fax_number": "303-659-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012517",
            "telephone_number": "303-659-4580",
            "fax_number": "303-659-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN RIDGE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.