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Brighter Heights Arizona, LLC Dba Ocotillo Ranch

Community Based Residential Treatment Facility, Mental Illness in Prescott Valley, AZ. Organization (NPI-2).

NPI number1992326029
StatusActive
Last updated in NPPESJul 6, 2022

Details

NPI
1992326029
Entity type
Organization (NPI-2)
Legal business name
Brighter Heights Arizona, LLC Dba Ocotillo Ranch
Organization subpart
Yes
Enumeration date
Apr 29, 2020
Certification date
Jul 6, 2022
Last updated
Jul 6, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Other names

  • Sequelcare Of Arizona (Former Legal Business Name)

Practice location

3001 N. Mountain View Rd
Prescott Valley, AZ 86314

Phone 928-777-3280 · Fax 928-717-1660

Mailing address

2517 N Great Western Dr.
Prescott Valley, AZ 86314-2597

Phone 928-777-3280 · Fax 928-227-8493

Authorized official

Brooke Wilson
Senior Credentialing Specialist
9289107644

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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