1073828828 NPI number — BRIGHT BLOOMS LLC

Table of content: MORGAN CROMPTON (NPI 1144087495)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073828828 NPI number — BRIGHT BLOOMS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIGHT BLOOMS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRIGHTSTAR OF BOISE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073828828
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4355 W EMERALD, SUITE 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOISE
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-338-7878
Provider Business Mailing Address Fax Number:
208-338-7879

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4355 W EMERALD, SUITE 290
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-338-7878
Provider Business Practice Location Address Fax Number:
208-338-7879
Provider Enumeration Date:
08/17/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOORE
Authorized Official First Name:
CAROLINE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
208-258-6271

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)