Organization Active NPI

Brightwork

  • Adult Day Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1962565077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
11289 Issued in UT
Legal business name
BRIGHTWORK
Practice address
1603 E Stratford Ave
Salt Lake City, UT 84106-3669
Phone
(801) 694-3205
Fax
(801) 484-5968
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher Todd Julian, MPA
Title
President
Phone
(801) 694-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 11289 UT Primary

Addresses

Primary practice location

1603 E Stratford Ave
Salt Lake City, UT 84106-3669

Mailing address

1603 E Stratford Ave
Salt Lake City, UT 84106-3669
Phone (801) 694-3205

National Provider Directory

National Provider Directory

Locations

1603 E Stratford Ave
Salt Lake City, UT 84106
Phone (801) 467-3959

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962565077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E STRATFORD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063669",
            "telephone_number": "801-694-3205",
            "fax_number": "801-484-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E STRATFORD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063669",
            "telephone_number": "801-694-3205",
            "fax_number": "801-484-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-694-3205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "UT",
            "license": "11289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.