Provider Demographics
NPI:1124912183
Name:BRIGHTER LIFE HEALTHCARE LLC
Entity type:Organization
Organization Name:BRIGHTER LIFE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:MBEBWO
Authorized Official - Last Name:NTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-500-8030
Mailing Address - Street 1:11201 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5761
Mailing Address - Country:US
Mailing Address - Phone:301-500-8030
Mailing Address - Fax:
Practice Address - Street 1:5812 MERTON CT APT 181
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-5851
Practice Address - Country:US
Practice Address - Phone:571-652-9272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities