Brighter Heights Arizona, Llc Dba Blue Ridge Manor in Prescott Valley - Residential Treatment Facility, Emotionally Disturbed Children
Brighter Heights Arizona, Llc Dba Blue Ridge Manor - NPI 1922190958
Brighter Heights Arizona, Llc Dba Blue Ridge Manor is a Residential Treatment Facility, Emotionally Disturbed Children in Prescott Valley, Arizona. Brighter Heights Arizona, Llc Dba Blue Ridge Manor practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Brighter Heights Arizona, Llc Dba Blue Ridge Manor is 1922190958. The last update date is 2022-07-06.
Brighter Heights Arizona, Llc Dba Blue Ridge Manor's current location address is 2517 N Great Western Dr., Prescott Valley, Arizona. You can contact this provider via phone number 9287773280 and fax number 9282278493. The mailing address for Brighter Heights Arizona, Llc Dba Blue Ridge Manor is 2517 N Great Western Dr., Prescott Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brighter Heights Arizona, Llc Dba Blue Ridge Manor |
|---|---|
| Address | 2517 N Great Western Dr., Prescott Valley, Arizona |
| Phone Number | 9287773280 |
| Fax Number | 9282278493 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR CRE |
|---|---|
| Authorized Official Name | Wilson Brooke |
| Telephone Number | 9289107644 |
NPI Number Detail
| NPI Number | 1922190958 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2022-07-06 |
Provider Mailing Address Detail
| Address | 2517 N Great Western Dr. |
|---|---|
| City | Prescott Valley |
| State | Arizona (AZ) |
| Post Code | 863142597 |
| Phone Number | 9287773280 |
| Fax Number | 9282278493 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH-2374 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 824509 | AZ | AHCCCS ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brighter Heights Arizona, Llc Dba Blue Ridge Manor?
The Brighter Heights Arizona, Llc Dba Blue Ridge Manor has been issued the NPI (National Provider Identifier) 1922190958 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brighter Heights Arizona, Llc Dba Blue Ridge Manor?
The Brighter Heights Arizona, Llc Dba Blue Ridge Manor is physically situated at 2517 N Great Western Dr., in the city of Prescott Valley, state of AZ, with the postal code 863142597.
What is Brighter Heights Arizona, Llc Dba Blue Ridge Manor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brighter Heights Arizona, Llc Dba Blue Ridge Manor is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
When did Brighter Heights Arizona, Llc Dba Blue Ridge Manor receive its 1922190958 assignment?
The Brighter Heights Arizona, Llc Dba Blue Ridge Manor was assigned its 1922190958 on 2006-09-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Brighter Heights Arizona, Llc Dba Blue Ridge Manor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brighter Heights Arizona, Llc Dba Blue Ridge Manor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-06.