BRIGHT EXPECTATIONS INC. NPI 1265607584

NPI Information

NPI: 1265607584
Provider Name: BRIGHT EXPECTATIONS INC.

Other Name: GRAMERCY DIVISION

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 05D2232122

Address:
10466 GRAMERCY PL
RIVERSIDE, CA
ZIP 92505
Phone: (951) 727-4303
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BRIGHT EXPECTATIONS INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Riverside, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BRIGHT EXPECTATIONS INC. NPI is 1265607584. The provider is registered as an organization entity type.
The provider Other Name Is Gramercy Division.

The provider's business location address is:

10466 GRAMERCY PL
RIVERSIDE, CA
ZIP 92505-300
Phone: (951) 727-4303
Fax: (951) 727-4304

The provider's authorized official is Henry Charles Cox .
The authorized official title is President / Administrator and has the following contact phone number (951) 727-4303.

The CLIA number assigned to this NPI record is 05D2232122 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC60940F	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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