Provider Demographics
NPI: | 1134990229 |
---|---|
Name: | BRIGHTMORR ENTERPRISES |
Entity type: | Organization |
Organization Name: | BRIGHTMORR ENTERPRISES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | TAMMI |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | COLLINS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 540-431-7237 |
Mailing Address - Street 1: | PO BOX 2121 |
Mailing Address - Street 2: | |
Mailing Address - City: | WINCHESTER |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22604-1321 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 540-431-7237 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 340 N PLEASANT VALLEY RD |
Practice Address - Street 2: | |
Practice Address - City: | WINCHESTER |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22601-5608 |
Practice Address - Country: | US |
Practice Address - Phone: | 800-275-8777 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-01-09 |
Last Update Date: | 2024-01-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
No | 171400000X | Other Service Providers | Health & Wellness Coach | Group - Multi-Specialty | |
No | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | Group - Multi-Specialty | |
No | 225C00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Group - Multi-Specialty | |
No | 225CX0006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Counselor | Orientation and Mobility Training Provider | Group - Multi-Specialty |
No | 226000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreational Therapist Assistant | Group - Multi-Specialty | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | |
No | 261QV0200X | Ambulatory Health Care Facilities | Clinic/Center | VA | |
No | 342000000X | Transportation Services | Transportation Network Company | ||
No | 347C00000X | Transportation Services | Private Vehicle | ||
No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty | |
No | 405300000X | Other Service Providers | Prevention Professional | Group - Multi-Specialty |