Brightway Healthcare Group, INC.
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1609695071
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1609695071
- Entity type
- Organization (NPI-2)
- Legal business name
- Brightway Healthcare Group, INC.
- Organization subpart
- No
- Enumeration date
- Oct 3, 2024
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | |
| 3416L0300X | Ambulance, Land Transport | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
532 Teton StLake Mary, FL 32746-2219
Phone 321-363-1576
Mailing address
532 Teton StLake Mary, FL 32746-2219
Phone 321-363-1576
Authorized official
Lacy-Ann Momanyi
Owner/Ceo
3213631576
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