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BRIGHTMOOR ASSISTED LIVING INC. NPI 1639448913


NPI Information

NPI: 1639448913
Provider Name: BRIGHTMOOR ASSISTED LIVING, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 11D2238477

Address:
3223 NEWNAN RD
GRIFFIN, GA
ZIP 30223
Phone: (770) 227-9950
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BRIGHTMOOR ASSISTED LIVING, INC. is an assisted living facility in Griffin, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BRIGHTMOOR ASSISTED LIVING, INC. NPI is 1639448913. The provider is registered as an organization entity type.

The provider's business location address is:

3223 NEWNAN RD
GRIFFIN, GA
ZIP 30223-114
Phone: (770) 227-9950
Fax: (770) 227-9958

The provider's authorized official is Penny Griffin .
The authorized official title is Regional Vp Of Operations and has the following contact phone number (770) 228-1228.

The CLIA number assigned to this NPI record is 11D2238477 - other - personal care home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 12/15/2011.


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
1310400000XAssisted Living Facility126030031GEORGIAYes

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: 5/5/2024

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