BRAYNE CONCEPTS NPI 1114198728

NPI Information

  • NPI: 1114198728
  • Provider Name: BRAYNE CONCEPTS
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: BAJAN PROFESSIONAL GROUP HOME
  • Address: 2360 E 5TH ST
    LEHIGH ACRES, FL
    ZIP 33936
  • Phone: (239) 368-8833

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NPI Details

BRAYNE CONCEPTS is an intermediate care facility mentally retarded in Lehigh Acres, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BRAYNE CONCEPTS NPI is 1114198728. The provider is registered as an organization entity type.
The provider Is Doing Business As Bajan Professional Group Home.

The provider's business location address is:

2360 E 5TH ST
LEHIGH ACRES, FL
ZIP 33936-332
Phone: (239) 368-8833
Fax: (239) 368-8833

The provider's authorized official is Heather Maureen Holder .
The authorized official title is Arnp and has the following contact phone number (239) 368-8833.

The enumeration date for this NPI number is 3/23/2008 and was last updated on 6/14/2008.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities089333FLORIDAYes

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
1692003996MEDICAIDFLORIDA

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: 11/21/2025

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