Organization · NPI-2

Bright Minds Group Home LLC

Day Training, Developmentally Disabled Services · Port St Lucie, FL

NPI number1306765763

StatusActive

Last updated in NPPESJul 10, 2026

Details

NPI: 1306765763
Entity type: Organization (NPI-2)
Legal business name: Bright Minds Group Home LLC
Organization subpart: No
Enumeration date: Jul 10, 2026
Certification date: Jul 10, 2026
Last updated: Jul 10, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251C00000X	Day Training, Developmentally Disabled Services	–	–	Yes
251B00000X	Case Management	–	–
251E00000X	Home Health	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–

Practice location

636 Se Stow Ter
Port St Lucie, FL 34984-6452

Phone 561-821-1012

Mailing address

636 Se Stow Ter
Port St Lucie, FL 34984-6452

Phone 561-821-1012

Authorized official

Gary Dunkley
Director Of Operations
5618211012

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