Provider Demographics
NPI:1306148747
Name:BRIGHT BEGINNINGS FAMILY SERVICES,LLC
Entity type:Organization
Organization Name:BRIGHT BEGINNINGS FAMILY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:BACCHUS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:407-834-0000
Mailing Address - Street 1:801 W STATE ROAD 436
Mailing Address - Street 2:SUITE 2003
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3054
Mailing Address - Country:US
Mailing Address - Phone:407-834-0000
Mailing Address - Fax:407-265-2237
Practice Address - Street 1:801 W STATE ROAD 436
Practice Address - Street 2:SUITE 2003
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3054
Practice Address - Country:US
Practice Address - Phone:407-834-0000
Practice Address - Fax:407-265-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL693510900Medicaid
FL693510901Medicaid