BRIGHTSIDE LIVING LLC (NPI# 1639724107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639724107 |
| Entity Type | Organization |
| Organization Name | BRIGHTSIDE LIVING LLC |
| Practice Address |
4312 Division Ave N Comstock Park MI 49321-9546 |
| Mailing Address |
Po Box 220 Douglas MI 49406 |
| Practice Telephone | 6143298428 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | COREY HUSTED (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6143298428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643648 | Brightside Living LLC | Assisted Living Facility | 6601 Crystal Downes Dr Se, Caledonia, MI 49316-9090 | 2020-06-10 |
| Street Address |
4312 DIVISION AVE N |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321-9546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043759350 | Harmony Cove LLC | Foster Care Agency | 4312 Division Ave N, Comstock Park, MI 49321-9546 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1871689638 | Kent Pediatrics, PC | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321 | 2006-10-05 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| Find all providers in zip 49321 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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| 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.