Brightside Day Habilitation

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

2203781925 Issued in LA

Legal business name

BRIGHTSIDE DAY HABILITATION

Practice address

557 E Main St
A
Brusly, LA 70719-2210

Phone

(225) 615-7018

Fax

(225) 615-7492

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By 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

Mrs. Lizabeth Dell Jackson

Title

Owner/Manager

Phone

(225) 615-7018

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Brightside Day Habilitation2 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.

• Brightside Day Habilitation, Inc

  • Developmentally Disabled Services Day Training Agency
  • Brusly, LA
  • NPI 1659713709
  NPD tax ID

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1982003398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST",
            "address_2": "A",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192210",
            "telephone_number": "225-615-7018",
            "fax_number": "225-615-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST",
            "address_2": "A",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192210",
            "telephone_number": "225-615-7018",
            "fax_number": "225-615-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE DAY HABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "225-615-7018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2203781925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC0011192",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baton Rouge Orthopaedic Clinic LLC (Baton Rouge Orthopaedic Clinic)
• Andrew B Bernales, MD
• BPH Enterprises, LLC (Westside Family Medicine)
• Brightside Day Habilitation, Inc
• Brightside Day Habilitation, Inc
• Melody Bynum, MA
• Sheralyn King Callihan-Favrot, P.T.
• Ledidra Carter-Bell

• Developmentally Disabled Services Day Training Agency in Brusly, LA
• Providers in Brusly, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.