1679655302 NPI number — BRIGHTER TOMORROWS INC.

Table of content: (NPI 1679655302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679655302 NPI number — BRIGHTER TOMORROWS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIGHTER TOMORROWS INC.
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:
Provider Other Organization Name Type Code:
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:
1679655302
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 N MICHIGAN ST
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46563-1770
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-935-9449
Provider Business Mailing Address Fax Number:
574-935-3956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 N HARRISON ST
Provider Second Line Business Practice Location Address:
C/O UPC
Provider Business Practice Location Address City Name:
WARSAW
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46580-3133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-935-9449
Provider Business Practice Location Address Fax Number:
574-935-3956
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
UCENY
Authorized Official First Name:
JILLORNA
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
574-935-9449

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





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