National Provider Identifier Database

BRIGHTER HEIGHTS ARIZONA LLC DBA PRESCOTT HOUSE
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
4001 NORTH CATHERINE DRIVE
PRESCOTT VALLEY, AZ86314
Phone: 928-775-7118
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE

NPI Number 1780777540
Legal business name
LBN
BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
Authorized official BROOKE WILSON - (SENIOR CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 10/02/2006
Last updated 07/06/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH-3650
  • AZ Medicaid: 560284
  • AZ Other: 560284 AHCCCS ID
  • AZ Other: BH-3650 LIC #
  • AZ Other: BH4980 LIC #
  • AZ Other: BH3650 LIC#

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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