Brighter Heights Arizona, Llc Dba Smoki Trail in Prescott Valley - Residential Treatment Facility, Emotionally Disturbed Children
Brighter Heights Arizona, Llc Dba Smoki Trail - NPI 1588740930
Brighter Heights Arizona, Llc Dba Smoki Trail is a Residential Treatment Facility, Emotionally Disturbed Children in Prescott Valley, Arizona. Brighter Heights Arizona, Llc Dba Smoki Trail practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Brighter Heights Arizona, Llc Dba Smoki Trail is 1588740930. The last update date is 2022-07-06.
Brighter Heights Arizona, Llc Dba Smoki Trail'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 Smoki Trail 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 Smoki Trail |
|---|---|
| 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 | 1588740930 |
|---|---|
| Provider Enumeration Date | 2006-10-28 |
| 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-2163 |
|
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 |
|---|---|---|---|
| 717407 | AZ | -- | |
| 717407 | AZ | AHCCCS ID |
Post Comment/ Review Below
What is the unique identifier code issued to Brighter Heights Arizona, Llc Dba Smoki Trail by the Centers for Medicare & Medicaid Services?
The Brighter Heights Arizona, Llc Dba Smoki Trail has been assigned the NPI (National Provider Identifier) 1588740930. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brighter Heights Arizona, Llc Dba Smoki Trail located?
The Brighter Heights Arizona, Llc Dba Smoki Trail is located at 2517 N Great Western Dr., Prescott Valley, AZ 863142597.
What is Brighter Heights Arizona, Llc Dba Smoki Trail's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brighter Heights Arizona, Llc Dba Smoki Trail is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588740930 to Brighter Heights Arizona, Llc Dba Smoki Trail?
The Centers for Medicare & Medicaid Services originally issued the 1588740930 to Brighter Heights Arizona, Llc Dba Smoki Trail on 2006-10-28.
When was the information related to Brighter Heights Arizona, Llc Dba Smoki Trail most recently updated or refreshed?
The details pertaining to the Brighter Heights Arizona, Llc Dba Smoki Trail, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-06.
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