Provider Demographics
NPI:1750444774
Name:A BRIGHTER VISION L L C
Entity Type:Organization
Organization Name:A BRIGHTER VISION L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-517-2491
Mailing Address - Street 1:11004 E US HIGHWAY 40
Mailing Address - Street 2:SUITE 130
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6023
Mailing Address - Country:US
Mailing Address - Phone:816-358-5226
Mailing Address - Fax:816-358-1009
Practice Address - Street 1:11004 E US HIGHWAY 40
Practice Address - Street 2:SUITE 130
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6023
Practice Address - Country:US
Practice Address - Phone:816-358-5226
Practice Address - Fax:816-358-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO8001562251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO8001562Medicaid