Provider Demographics
NPI:1124773700
Name:BRIGHTSY HEALTH, INC.
Entity type:Organization
Organization Name:BRIGHTSY HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-224-6884
Mailing Address - Street 1:8660 COLLEGE PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-5805
Mailing Address - Country:US
Mailing Address - Phone:786-224-6884
Mailing Address - Fax:
Practice Address - Street 1:8660 COLLEGE PKWY STE 240
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-5805
Practice Address - Country:US
Practice Address - Phone:786-224-6884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTSY HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-13
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251B00000XAgenciesCase Management