BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE – NPI #1780777540
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.

BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE is a community based residential treatment facility located in PRESCOTT VALLEY, AZ. NPPES has assigned the NPI number 1780777540 to BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SEQUELCARE OF ARIZONA, LLC DBA PRESCOTT HOUSE. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on Jul 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE below.

NPI Profile for
BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE

NPI Number
1780777540
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
Former Legal Business Name: SEQUELCARE OF ARIZONA, LLC DBA PRESCOTT HOUSE
Primary location
4001 NORTH CATHERINE DRIVE
PRESCOTT VALLEY, AZ 86314
Phone: (928) 775-7118 Fax:
Mailing address
2517 N GREAT WESTERN DR.
SUITE P
PRESCOTT VALLEY, AZ 86314-2597
Phone: (928) 777-3280 Fax: (928) 227-8493
Organization Subpart
No
Authorized Official
BROOKE WILSON
SENIOR CREDENTIALING SPECIALIST
Phone: (928) 910-7644
Updated
Certification Date
Jul 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAHCCCS IDAZ560284
OTHERLIC #AZBH-3650
OTHERLIC #AZBH4980
OTHERLIC#AZBH3650
MEDICAIDAZ560284
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
AZ BH-3650

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.