Provider Demographics
NPI:1164576211
Name:BRIGHTER TOMORROWS, INC.
Entity Type:Organization
Organization Name:BRIGHTER TOMORROWS, INC.
Other - Org Name:MAPLE COMMUNITY HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-371-6771
Mailing Address - Street 1:PO BOX 1494
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71058-1494
Mailing Address - Country:US
Mailing Address - Phone:318-371-6771
Mailing Address - Fax:
Practice Address - Street 1:323 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3444
Practice Address - Country:US
Practice Address - Phone:318-377-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA589320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1718432Medicaid