BRIGHTON HOUSE LLC


Address: 2945 E Robidoux Rd, Sandy, UT 84093-1128
Phone: 8018490476

BRIGHTON HOUSE LLC (NPI# 1528580180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528580180
Entity Type Organization
Organization Name BRIGHTON HOUSE LLC
Practice Address 2945 E Robidoux Rd
Sandy
UT 84093-1128
Mailing Address 1265 E Fort Union Blvd Ste 140
Midvale
UT 84047-1808
Practice Telephone 8018490476
Practice Fax Number 8018490476
Mailing Telephone 8018490453
Mailing Fax Number 8018382100
Enumeration Date 2017-07-14
Last Update Date 2020-06-26
Authorized Official Name JONATHAN SAUL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8018490453
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Brighton House LLC 150 S. 15th Avenue Drive, Brighton, CO 80601

Office Location

Street Address 2945 E ROBIDOUX RD
City SANDY
State UT
Zip Code 84093-1128

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1659696227 Pamela Elizabeth Boyleston Nurse Anesthetist, Certified Registered 2628 Partridge Way, Sandy, UT 84093 2010-04-07
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City SANDY
Zip Code 84093

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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