BRIGHT LIFE CARE RECOVERY CENTER LLC NPI 1013608496

NPI Information

NPI: 1013608496
Provider Name: BRIGHT LIFE CARE RECOVERY CENTER LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address: 5060 N 19TH AVE STE 317
PHOENIX, AZ
ZIP 85015
Phone: (602) 904-0088

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NPI Details

BRIGHT LIFE CARE RECOVERY CENTER LLC is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BRIGHT LIFE CARE RECOVERY CENTER LLC NPI is 1013608496. The provider is registered as an organization entity type.

The provider's business location address is:

5060 N 19TH AVE STE 317
PHOENIX, AZ
ZIP 85015-213
Phone: (602) 904-0088

The provider's authorized official is Bright Ngabire Ntimpa .
The authorized official title is Administrator/owner and has the following contact phone number (602) 904-0088.

The enumeration date for this NPI number is 5/17/2023 and was last updated on 5/17/2023.

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	Primary
1	261QR0800X	Clinic/Center	Recovery Care	No
2	251B00000X	Case Management		No
3	251J00000X	Nursing Care		No
4	251S00000X	Community/Behavioral Health		No
5	261Q00000X	Clinic/Center		No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
7	261QP2000X	Clinic/Center	Physical Therapy	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

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: 3/30/2025

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