Provider Demographics
NPI:1053650374
Name:BRIGHTENING CONNECTIONS LLC
Entity Type:Organization
Organization Name:BRIGHTENING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:657-785-3059
Mailing Address - Street 1:1111 ELWAY ST
Mailing Address - Street 2:APT 504
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3234
Mailing Address - Country:US
Mailing Address - Phone:651-785-3059
Mailing Address - Fax:
Practice Address - Street 1:1111 ELWAY ST
Practice Address - Street 2:APT 504
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3234
Practice Address - Country:US
Practice Address - Phone:651-785-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8366251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health