Provider Demographics
NPI:1356887228
Name:A BRIGHTER LIVING LLC
Entity type:Organization
Organization Name:A BRIGHTER LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:UMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MBEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-599-4221
Mailing Address - Street 1:628 ARBORWAY CT
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4801
Mailing Address - Country:US
Mailing Address - Phone:614-599-4221
Mailing Address - Fax:
Practice Address - Street 1:628 ARBORWAY CT
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4801
Practice Address - Country:US
Practice Address - Phone:614-599-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2570561253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0168890Medicaid